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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anesthesia anesthesiology criticalcare intraoperative differential treatment admissions admitting anaphylaxis cardiogenic cardiology cardiomyopathy distributive druginduced drugs electricity elevated failure hypotension hypovolemic
Summary Table of how the 4 types of shock affect the circulatory system: - Hypovolemic
Summary Table of ... the 4 types of shock ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Examine for a cause ... Distributive • Obstructive ... 4) Diagnosis and ... Workup 5) Intervene ... #criticalcare #Shock
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... and Reverse • Obstructive ... #Diagnosis #Management
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Pancreatitis • Obstructive ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... , S3, crackles Obstructive ... findings based on cause ... #table #comparison
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
and Workup Algorithm ... Pre-Coronarv): Shock ... /Trauma • No Obstruction ... Occlusion • Stable ... #Algorithm
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... /management of shock ... note, discharge summary ... #ICU #Pearls #Checklist ... #diagnosis #workup
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... • Immunologic Workup ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... until patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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