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 ... failure from massive pulmonary ... embolism or severe pulmonary ... #diagnosis #management ... #criticalcare #
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
manifestations of COVID ... arrhythmias, Cardiogenic shock ... , Myocardial ischemia ... , Acute cor pulmonale ... Extrapulmonary #Diagnosis
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential Diagnosis ... SHOCK β€’ MAP ... , CVP > 12 β€’ Pulmonary ... #Differential #Diagnosis ... #Types #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... Pulmonary embolism ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare ... #diagnosis #classification
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... β€’ Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Framework Type ... Cardiogenic & Septic Shock ... dysfunction Type ... #criticalcare #