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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differential management table algorithm overview treatment chronic diabetes diarrhea dm2 dmii endocrinology hepatology hepatorenal hrs hrsaki hrsckd hrsnaki hypercalcemia hyperthermic
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Shock Classification ... advanced valvular disease ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare ... #diagnosis #classification
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... The cause of shock ... #Diagnosis #CriticalCare ... #Causes #Types
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential Diagnosis ... , Severe Valve Disease ... #Classification ... #Types #criticalcare
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... be used in all types ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... • Parkinson’s disease ... Subclavian steal syndrome ... #Table #Causes
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... Genetic disorders (e.g ... endocrine neoplasia type ... 1 or type 2A, familial ... #Differential #Diagnosis
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 Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... previously known as HRS Type ... 20% HAS) • No shock ... of kidney disease
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... , Severe Valve Disease ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... of invasive GAS disease ... GAS in 30% of cases ... 50% in nec fasc Diagnostic ... #Syndrome #STSS
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... anaphylaxis, release syndrome ... #table #comparison ... #criticalcare
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