Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis shock differential management insufficiency treatment causes challenges classification cosyntropin curves cushing fluid guyton hyperfunction hypotension pathophysiology responsiveness stimtest stimulation
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Anaphylaxis • Adrenal ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... abdominal pain, hypotension ... Differential #Diagnosis #Algorithm ... #endocrinology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Syndrome Testing Algorithm ... weakness, refractory hypertension ... Hormone • MRI of adrenal ... #endocrinology ... #Adrenal #Hyperfunction
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... GI distress - Hypotension ... findings (see algorithm ... Insufficiency #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
, Anaphylaxis, Adrenal ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... hypovolemia and hypotension ... Pathophysiology #Comparison ... #criticalcare #
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... Cardiac Tamponade, Pulmonary ... Failure, Endocrine (adrenal ... albumin, trauma), Renal ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Management Summary • Hypotension ... Tamponade - Pulmonary ... Inotropes - Adrenal ... Management #Summary #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
lower risk of renal ... Pulmonary Artery ... • PULMONARY A ... testing #diagnosis #criticalcare ... #comparison #challenges
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