Dr. Gerald Diaz @GeraldMD
33.6M 14.0K 7.4K
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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57 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... #Hypotension #Differential
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 β€’ Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Diagnostic Studies β€’ POCUS ... Management: β€’ ... #Cardiogenic #Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Dehydration Shock ... #Differential # ... algorithm #treatment #management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... DrEricStrong #Shock ... #Differential #
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) β€’ Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #differential
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Pressure Vent, pHTN, Shock ... Hypoxemia #hypoxia #Differential
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Diagnosis SHOCK ... , CVP > 12 β€’ Pulmonary ... Classification #Differential
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... Pulmonary View ... Pulmonary View ... #RUSH #Exam #POCUS
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Tamponade, pulmonary ... #Cardiogenic #Shock ... #Differential #
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... #Vasopressors #shock ... inopressors #diagnosis #management