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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Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute ... flow) - Massive pulmonary ... #Classification ... #Table #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... objective assessment“ (e.g ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... insufficiency, acute ... #Classification ... #types #diagnosis ... #management #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... insufficiency, acute ... #Types #diagnosis ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect (e.g ... Medication side effect (e.g ... #Table #Causes
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of ... shock remains undetermined ... (eg, acute valvular ... #Differential #Table
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... Criteria HRS-AKI (Acute ... 20% HAS) • No shock ... nephrotoxics (e.g
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare
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
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
(ARDS) Chest ... objective assessment (eg ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
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