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 by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... and Symptoms by Classification ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison Table ... Types #Comparison #Table ... differentiating #criticalcare ... #Classification
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... #CHF #Diagnosis ... #Table #Cardiology
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential Diagnosis ... , CVP > 12 β€’ Pulmonary ... #Classification ... #Types #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Checklist Approach to Undifferentiated Shock / Hypotension

#Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Undifferentiated Shock ... Undifferentiated #Shock ... #Hypotension #Diagnosis ... #Workup #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Obstructive 4) Diagnosis ... and Workup 5) ... #criticalcare # ... Shock
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... Cold and Dry #Shock ... #diagnosis #differential ... #criticalcare