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 Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... and Wet): β€’ Cardiomyopathic ... pericarditis, restrictive cardiomyopathy ... #Classification ... #criticalcare #differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... #Classification ... #Types #diagnosis ... warm #wet #dry #table
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... and Dry #Shock ... #Types #Classification ... #diagnosis #differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... #Table #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Medications, Spinal Cord ... , CVP > 12 β€’ Pulmonary ... Diagnosis #Types
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... Algorithm Hypovolemic ... Cardiogenic: β€’ Cardiomyopathy ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... Pulmonary embolism ... infarction. end-stage cardiomyopathy ... #Shock #Types #Pathophysiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord ... β€’ Obstructive: Pulmonary ... #Differential # ... #criticalcare #algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... β€’ Hypertrophic cardiomyopathy ... #Syncope #Differential ... #Table #Causes
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
diagnosis or the type ... of shock remains ... severe cardiogenic shock ... #NormalValues #Differential ... #Table #Chambers