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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32 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... , Signs and Symptoms ... (Mechanical obstruction ... #Differential #Diagnosis ... #CriticalCare #Sign
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Cardiogenic #Obstructive ... #Shock
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Comparison Obstructive ... Shock: β€’ Obstructive ... Echocardiographic Signs ... Echocardiographic Signs ... #criticalcare #diagnosis
Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department

https://www.ncbi.nlm.nih.gov/pubmed/30181794

Our data
ultrasound for the diagnosis ... of small bowel obstruction ... and discharge diagnosis ... #Obstruction #SBO ... #POCUS #Diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... LV outflow Obstruction ... Comparison #Table #Diagnosis ... #Features #Signs
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
- Differential Diagnosis ... , Distributive Shock ... Artery Stenosis, Abdominal ... Post-Renal: β€’ Obstruction ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Arrhythmia β€’ Obstructive ... Severe auto-PEEP, Abdominal ... #Differential #Diagnosis
Important Causes of RUQ and Midline Abdominal Pain - Illness Scripts
PUD, Gastroenteritis, Small bowel obstruction, Appendicitis,
RUQ and Midline Abdominal ... Gastroenteritis, Small bowel obstruction ... #differential #diagnosis ... #signs #symptoms
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Management 1) Ask ... Distributive β€’ Obstructive ... 4) Diagnosis and ... #criticalcare #Shock
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Full Set of Vital Signs ... and Reverse β€’ Obstructive ... #Diagnosis #Management