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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differential classification causes overview types acidosis admissions admitting algorithm challenges checklist curves drugs fluid guyton icu inopressors lactate lactic pathophysiology
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 and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... MI, Acute Heart Failure ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... vascular → RV failure ... from massive 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
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
(PE, PHTN), LV Failure ... Cardiac Tamponade, Pulmonary ... Renal Losses(salt-wasting ... #diagnosis #differential ... guyton #curves #criticalcare
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... • MI, Heart Failure ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... • MI, Heart Failure ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Systemic liver Failure ... , Renal failure, ... separate D-lactate testing ... #criticalcare #
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... is never a bad idea ... 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 ... Pulmonary Artery ... #diagnosis #criticalcare ... #comparison #challenges ... #management
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