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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20 results
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 ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... diagnosis #management #comparison ... #table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The cystic pattern ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Diagnosis #Radiology #Pulmonary ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... @nickmmark #Pulmonary
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Resistance, Main Uses ... Vasopressors #Properties #Table ... Effect #Management #Comparison