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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare ... Symptoms #Findings #Comparison
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 ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
rhythm table #Diagnosis ... #Cardiology #EKG ... #ECG #WideComplex ... Irregular #Table #Comparison ... #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... Diagnosis #criticalcare
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
β€’ Malignancy 
β€’ Milk-alkali syndrome 
β€’ Vitamin D toxicity 
β€’
Hypercalcemia - EKG ... β€’ Milk-alkali syndrome ... Hypercalcemia #EKG ... #Differential # ... Causes #Diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... anaphylaxis, release syndrome ... #Differential # ... #comparison #criticalcare
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison