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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare # ... Findings #Comparison
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Syncope - Findings, Signs ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare # ... Findings #Comparison
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... Obstructive #Diagnosis ... #Management #Types ... #Shock #Comparison
Shock Classification Types - Pathophysiology Comparison

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

 β€’ Bova score
Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... #Cardiogenic #Comparison ... #Table #Diagnosis ... #Features #Signs
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare