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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Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... exacerbation (any cause ... flow) - Massive pulmonary ... tamponade - Tension ... Classification #Table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... tamponade β€’ Tension ... #causes
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... β€’ Mechanical β†’ tension ... findings based on cause ... #Differential # ... Diagnosis #table
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
) - MSK Radiology ... (save $$) Differential ... #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 β€’ Os trigonum which has marrow
Trigonum) Syndrome - MSK ... Case description ... hallucis longus Differential ... #mri #clinical ... Radiology #diagnosis #msk
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... β€’ OBSTRUCTIVE: Tension ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... #diagnosis #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... delivery β€’ PE, Tension ... #criticalcare #differential ... #causes #classification
Cortical Desmoid - MSK Radiology
Imaging Findings:
 β€’ Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Cortical Desmoid - MSK ... Case description ... Differential diagnosis ... #mri #clinical ... Radiology #diagnosis #msk
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... delivery β€’ PE, Tension ... #criticalcare #differential ... #causes #classification