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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... obstruction to blood flow ... #Differential # ... #Table #CriticalCare ... Symptoms #Findings #Comparison
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... call it, β€œThink High ... or Think Low.” ... POCUS #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... call it, β€œThink High ... or Think Low.” ... POCUS #Evaluation #Protocol ... #Algorithm #High
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Diagnosis SHOCK ... #Classification ... #Differential #
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... characterized by low ... and normal or high ... #Comparison #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... obstruction to blood flow ... #Differential # ... #Table #CriticalCare
Hyperaldosteronism - Etiologies of Mineralocorticoid Excess

Primary Hyperaldosteronism (Normal or Low Renin, High Aldosterone) 
 - Aldosterone-secreting
Renin, High Aldosterone ... Renin, Normal or Low ... Hyperaldosteronism #Differential ... #Aldosterone #Comparison ... #Table
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... Renin, Low Aldosterone ... Hypoaldosteronism #Differential ... #Aldosterone #Comparison ... #Table #Causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High ... CO / Low SVR: ... CO / High SVR: ... #criticalcare #algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... - Low CO and therefore ... #Classification ... #criticalcare #differential ... #causes #classification