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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Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Shock can be caused ... The cause of shock ... is often clinically ... #Diagnosis #CriticalCare ... #Shock #Differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... contractility) - Acute MI ... exacerbation (any cause ... #Differential # ... Classification #Table #CriticalCare
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
performed) β€’ Clinical ... Cardiovascular MRI ... Clinical β€’ ... intolerance β€’ Chest ... β€’ Cardiogenic shock
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential # ... causes #classification
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
on scores and clinical ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential # ... causes #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... findings based on cause ... #Differential # ... table #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Obstruction (HOCM, critical ... #diagnosis #differential ... guyton #curves #criticalcare
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Checklist PREPARATION ... the tube as it passes ... #ChestTube #Checklist ... #Procedure #Management ... #CriticalCare #
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... TTE +/- TEE) β€’ Chest ... Internet Book of Critical ... #criticalcare # ... diagnosis #management