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 ... #Table #CriticalCare
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
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... #Embolism #Risk
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
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 ... warm #wet #dry #table
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
vein thrombosis, Pulmonary ... embolism, Catheter-related ... arrhythmias, Cardiogenic shock ... ischemia, Acute cor ... pulmonale β€’ Endocrine
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 ... cardiacarrest #Algorithm
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 ... cardiacarrest #Algorithm
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 ... during Delivery β€’ Stable