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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
Ketosis Disorders - Comparison Table
 β€’ Starvation Ketosis
 β€’ Alcoholic Ketoacidosis (AKA)
 β€’ Diabetic Ketoacidosis (DKA)
Ketosis Disorders - Comparison ... Table β€’ Starvation ... Disorders #ketones #differential ... #diagnosis #management ... #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... #Vasopressors #shock ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... bronchiolitis in infection ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Cystic #Cysts #Differential ... #Comparison #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... host response to infection ... Types #diagnosis #management ... warm #wet #dry #table
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock ... characterized by shock ... , erythematous macular ... day 2 + 3 BIDMC Infectious ... STSS #treatment #management