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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classification differential types admissions admitting algorithm challenges checklist cold drugs dry embolism fluid icu inopressors pathophysiology pearls pert pharmacology prognostication
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... - Severe heart failure ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... uw_IMresidency #Shock ... #table #comparison ... #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... leading to organ failure ... #Comparison #criticalcare ... #diagnosis #classification
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment #management
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... vascular → RV failure ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... esp in work-up/management ... of shock MICRO ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
risk of renal failure ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges ... #management
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