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 - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial ... Differential #Diagnosis #Classification
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... obstruction β€’ Pulmonary ... #shock #causes
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... in blood flow caused ... Depends on the cause ... Pulmonary embolism ... criticalcare #diagnosis #classification
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... #Embolism #Risk ... prognostication #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... embolism or severe ... pulmonary hypertension ... #Classification ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... embolism or severe ... pulmonary hypertension ... #Classification ... types #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... #criticalcare #algorithm ... #treatment #management
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least 2
Cardiac Arrest Algorithm ... Shock Energy for ... intra-arterial Reversible Causes ... , Thrombosis, (pulmonary ... #AHA2020 #management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy β€’ Pulmonary ... embolus 3. ... Pts: cardiogenic shock ... Management during
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least
ACLS Circular Algorithm ... Shock Energy for ... intra-arterial Reversible Causes ... , Thrombosis, (pulmonary ... #AHA2020 #management