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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Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... Cardiogenic: β€’ Cardiomyopathy ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... obstruction β€’ Pulmonary
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
vein thrombosis, Pulmonary ... embolism, Catheter-related ... Cardiac: Takotsubo cardiomyopathy ... arrhythmias, Cardiogenic shock ... ischemia, Acute cor
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Wet): β€’ Cardiomyopathic ... failure from massive pulmonary ... embolism or severe ... pericarditis, restrictive cardiomyopathy ... #criticalcare #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... embolism. ... #Echocardiogram
β–Ί
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Embolism, Pneumothorax ... Embolism, Emphysema ... Pressure Vent, pHTN, Shock ... Hypoxemia #hypoxia #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Treatment Goals ... #Differential #
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and wet) β€’ Cardiomyopathic ... Cold and Dry) β€’ Pulmonary ... embolism or severe ... pulmonary hypertension ... pericarditis, restrictive cardiomyopathy
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... embolism - Pericardial ... #Differential #
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Hypertrophic Cardiomyopathy ... Tamponade, pulmonary ... #Cardiogenic #Shock ... #Differential #
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... β€’ Ischemia β€’ Cardiomyopathy ... Pneumonia β€’ Pulmonary ... embolism β€’ Pulmonary ... 2LmUODZ #Dyspnea #Differential