Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management criticalcare cardiology classification algorithm causes types a4c biopsy chambers clotintransit cold curves dry ecg echocardiogram electrocardiogram guyton hypotension mcconnells
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Cardiogenic: • Cardiomyopathy ... valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... embolism - Pericardial ... #Table #CriticalCare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Pulmonary Embolism ... on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and wet) • Cardiomyopathic ... embolism or severe ... pericarditis, restrictive cardiomyopathy ... Classification #Types #diagnosis ... warm #wet #dry #table
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... Echocardiogram #A4c #clinical
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 Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Wet): • Cardiomyopathic ... failure from massive pulmonary ... embolism or severe ... Classification #types #diagnosis ... #criticalcare #differential
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
- OnePager Summary ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... #diagnosis #differential
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management Summary ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #treatment #workup
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... • Hypertrophic cardiomyopathy ... #Syncope #Differential ... #Table #Causes
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