Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... , cardiac tamponade ... Pulmonary embolism ... effusion, small ... #Shock #Types #Pathophysiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... diminished tissue perfusion ... failure from massive pulmonary ... embolism or severe pulmonary ... pneumothorax, cardiac tamponade
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... Obstructive: β€’ Cardiac tamponade ... Differential #Diagnosis #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... β€’ Most common type ... Cold and Dry) β€’ Pulmonary ... pneumothorax, cardiac tamponade ... Classification #Types
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... EM_RESUS #Clinical #POCUS ... Echocardiogram #Cardiac #Tamponade ... #Pericardial #Effusion
β–Ί
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Differential Diagnosis SHOCK ... , CVP > 12 β€’ Pulmonary ... Pneumothorax, Cardiac Tamponade ... Differential #Diagnosis #Types
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... and etiology of shock ... Obstructive: Pericardial tamponade ... , Pulmonary embolism
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Differential Diagnosis Algorithm ... Valvular disease β€’ Tamponade ... Pneumonia β€’ Pulmonary ... Pleura: β€’ Pleural effusion ... Differential #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Pneumothorax, Cardiac Tamponade ... Dehydration Shock ... #criticalcare #algorithm
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... diagnosis or the type ... of shock remains ... severe cardiogenic shock ... hypertension or cardiac tamponade