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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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 ... Anaphylaxis β€’ Adrenal insufficiency ... 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
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... GI distress - Hypotension ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Anaphylaxis, Adrenal Insufficiency ... , CVP > 12 β€’ Pulmonary ... Sophia_Hayes_MD #Shock #Classification ... Diagnosis #Types #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... aortic or mitral insufficiency ... embolism or severe pulmonary ... hypertension β€’ ... diagnosis #management #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Pulmonary embolism ... hypovolemia and hypotension ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Anaphylaxis, Adrenal Insufficiency ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... aortic or mitral insufficiency ... Cold and Dry) β€’ Pulmonary ... hypertension ... water #Shock #Classification
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Management Summary β€’ Hypotension ... Tamponade - Pulmonary ... - Adrenal Insufficiency ... Management #Summary #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... Cardiac Tamponade, Pulmonary ... Endocrine (adrenal insufficiency ... guyton #curves #criticalcare