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 Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Pneumothorax, Cardiac ... Tamponade Hypovolemic ... Diagnosis #Types #criticalcare
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and Classification ... , tension PTX, tamponade ... #Shock #Types #Classification ... #diagnosis #differential ... #criticalcare
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI ... #POCUS #Echocardiogram
β–Ί
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... - Pericardial tamponade ... #Diagnosis #Classification ... #Table #CriticalCare
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Algorithm and Differential ... blood count with differential ... inflammatory markers β€’ Cardio-renal ... CK-MB, NT-proBNP, cardiac
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... tamponade, or tension ... Tamponade: pericardial ... Pathophysiology #Comparison #criticalcare ... #diagnosis #classification
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... FENa) could help differentiate ... @PulmCrit #AKI ... AcuteKidneyInjury #Nephrology ... #CriticalCare
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
HyperKalemia - Differential ... Elimination: β€’ AKI ... inhibitor β€’ Cardiac ... blockers - MCW Nephrology ... #HyperKalemia #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... β†’ tension PTX, cardiac ... tamponade, Vascular ... uw_IMresidency #Shock #Differential ... table #comparison #criticalcare
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... HEMODYNAMIC β€’ Cardiac ... Koratala @NephroP #AKI ... #Diagnosis #nephrology