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
diminished tissue perfusion ... dissection of ascending aorta ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... dissection of ascending aorta ... Cold and Dry) β€’ Pulmonary ... embolism or severe pulmonary ... Types #diagnosis #management
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Bronchospasm, Pulmonary ... Hemorrhage β€’ Impaired Diffusion ... Pressure Vent, pHTN, Shock ... Hypoxemia #hypoxia #Differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... edema - Large effusion ... nitroglycerine infusion ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Dehydration Shock ... #Differential # ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Consider IL NS/LR infusion ... Tamponade - Pulmonary ... #Diagnosis #Management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... Possible bilateral effusion ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... Arterial side (aorta ... cannula β€’ VA: Pulmonary ... PE, cardiogenic shock ... Oxygenation #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... Pulse deficit/differential ... deficit β€’ Shock ... Dissection #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... coagulopathy) β€’ CBC w differential ... LVEF, pericardial effusion ... Renal #Syndromes #differential ... #diagnosis #management