Dr. Gerald Diaz @GeraldMD
39.4M 14.2K 7.5K
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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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 #
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... obstruction β€’ Pulmonary ... #Hypotension #Differential
Pulmonary Embolism Therapies

Aligning therapeutic options with the severity of pulmonary embolism. Yellow boxes represent therapies requiring
Pulmonary Embolism ... embolism. ... in prospective clinical ... trials #Pulmonary ... Severity #Management #Treatment
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 #
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... diagnosis #management #comparison
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... #Embolism #Risk
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive Shock ... Pulmonary embolism ... #Comparison #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... , CVP > 12 β€’ Pulmonary ... Embolism, Tension ... Classification #Differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... #diagnosis #differential