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 criticalcare management comparison pathophysiology types abdomen disorders evaluation findings hematology hyponatremia hypotonic hypovolemic lymphomas lymphoproliferative nephrology nonhodgkin physiologic pocus
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... or Think Low.” ... POCUS #Evaluation #Protocol ... #Algorithm #Low ... #Hypovolemic #Distributive
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Lactate > 1.5 Distributive ... #Classification ... #Differential #
Shock - Findings, Signs and Symptoms by Classification - Hypovolemic (Intravascular volume depletion) - Distributive (Vasodilation)
Shock - Findings ... depletion) - Distributive ... obstruction to blood flow ... #Differential # ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... Intractable vomiting Distributive ... exacerbation (any cause ... #Table #CriticalCare
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Shock Classification ... caused by a massive ... Distributive Shock ... characterized by low ... and normal or high
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... areas, back of thigh ... /flank edema) Distributive ... #criticalcare #differential ... #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... areas, back of thigh ... /flank edema) Distributive ... #criticalcare #differential ... #causes #classification
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Lactate > 1.5 High ... CO / Low SVR: ... • Distributive: ... #criticalcare #algorithm
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... - Bimodal Age Distribution ... B-Cell ~90% • Low ... Lymphoproliferative #Disorders #Classification ... #algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... diuresis can be high ... #Hyponatremia #differential ... #diagnosis #table
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