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 - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential # ... #Table #CriticalCare
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... #Pulmonary #CXR ... Consolidation #Differential ... #RadiologyAssistant
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... - Cirrhosis Syndrome ... hemorrhage) - Pulmonary ... #Diagnosis #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
edema #Diagnosis ... #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
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 ... (eg, acute valvular ... #NormalValues #Differential ... #Table #Chambers
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Subclavian steal syndrome ... #Syncope #Differential ... #Table #Causes
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Syndrome (STSS) ... 50% in nec fasc Diagnostic ... necrosis STSS Treatment ... #Syndrome #STSS ... #diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... #diagnosis #differential