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
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Pulmonary embolism ... #Comparison #criticalcare ... #diagnosis #classification
Shock - Diagnosis and Management Summary • 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:
1) Ask for vitals ... Examine for a cause ... Obstructive 4) Diagnosis ... #criticalcare # ... Shock
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... Diagnosis #criticalcare ... algorithm #treatment #management
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
Rapid Response Management ... 1) Ask for vitals ... Cardiac, Neuro 4) Diagnose ... the underlying cause ... #criticalcare #
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... findings based on cause ... #comparison #criticalcare
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
- OnePager Summary ... ), LV Failure (MI ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential ... guyton #curves #criticalcare
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