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 ... embolism or severe pulmonary ... #diagnosis #management ... #criticalcare # ... differential
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Cold and Dry #Shock ... #Types #Classification ... #diagnosis #differential ... #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential ... , CVP > 12 β€’ Pulmonary ... Classification #Differential ... #Diagnosis #Types ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential # ... Classification #Table #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... Pulmonary embolism ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare
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 ... #Diagnosis #CriticalCare ... #Shock #Differential ... #Causes #Types
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
β€’ Most common type ... Cold and Dry) β€’ Pulmonary ... embolism or severe pulmonary ... Classification #Types ... #diagnosis #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... and etiology of shock ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management