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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Treatment Goals ... #Differential # ... #criticalcare #algorithm
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... #Cardiogenic #Comparison ... #Table #Diagnosis
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... Algorithm Hypovolemic ... Obstructive: β€’ Cardiac ... #Hypotension #Differential ... #Diagnosis #Algorithm
POCUS Echocardiography - Table of Cardiac Views and Windows
 β€’ Parastemal Long-Axis View (PLAX)
 β€’ Parasternal
Echocardiography - Table ... of Cardiac Views ... Anatomy #POCUS #Cardiac ... #TTE #Echocardiogram ... Orientations #Atlas #Map #Comparison
Human Granulocytic Anaplasmosis vs Ehrlichiosis vs Babesiosis
Nonspecific febrile illness with severe headache and myalgia.
Diagnosis: NAAT, Blood
Ioxedes Tick - Treatment ... Ioxedes Tick - Treatment ... tick #tickborne #differential ... #diagnosis #comparison ... #table
Thrombotic Microangiopathy - TTP VS HUS

Big picture points : Often hard to differentiate the two entities,
Often hard to differentiate ... distinction has HUGE treatment ... and first-line treatment ... thrombocytopenia #Comparison ... #Diagnosis #Table
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... Atherosclerosis β€’ Embolic: Cardiac ... #Diagnosis #Algorithm ... management #neurology #treatment