Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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
Reflex Syncope 
 - Vasovagal syncope
   โ€ข Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 โ€ข Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... in blood flow caused ... #Comparison #criticalcare ... #diagnosis #classification
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (โ†“ Intravascular volume):
 โ€ข Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... anaphylaxis, release syndrome ... #table #comparison ... #criticalcare
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 โ€ข โ†‘ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... 20% HAS) โ€ข No shock ... nephrotoxics (e.g ... #diagnosis #HRSAKI
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... (e.g. moderate ... resuscitation (e.g ... abdominal compartment syndrome ... choledolithiasis (e.g
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
#Classification ... #diagnosis #management ... #Overview #criticalcare ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
#Classification ... #diagnosis #management ... #Overview #criticalcare ... #differential #causes ... #classification
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... ) or septic shock ... cultures if possible (eg ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... objective assessmentโ€œ (e.g ... the underlying cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare