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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Hypovolemic #Distributive ... #Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... an ultrasound evaluation ... #Shock #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Obstructive #Shock
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... - Indication: Distributive ... (distributive, ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Intractable vomiting Distributive ... a.k.a. neurogenic shock ... exacerbation (any cause ... Classification #Table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... Differential #Diagnosis #Algorithm ... #shock #causes
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Examine for a cause ... Hypovolemic β€’ Distributive ... Diagnosis and Workup ... #criticalcare #Shock
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
Diagnosis and Workup ... Algorithm β€’ ... Pre-Coronarv): Shock ... , Non-Vascular Distribution ... Occlusion β€’ Stable
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Cardiorenal, Distributive ... Shock, HRS, Hypercalcemia ... Diagnosis #nephrology #causes ... #algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic Evaluation ... Algorithm Step ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm