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 ... how the 4 types ... Obstructive #Diagnosis ... #Management #Types ... #Shock #Comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Vasodilation) - Cardiogenic ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare # ... Findings #Comparison
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Types - Comparison ... Table JVP, IVC ... Hypovolemic Distributive Cardiogenic ... #Types #Comparison ... #criticalcare #
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Reflex Syncope - Cardiogenic ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare # ... Findings #Comparison
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Pulmonary embolism ... Cardiogenic Shock ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare ... #diagnosis #classification
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Neurogenic β€’ Cardiogenic ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... ) Cardiogenic ( ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
- Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features ... #Signs