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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Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... vasodilatation, myocardial dysfunction ... The cause of shock ... #Differential #Causes
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... #Classification ... Types #diagnosis #management ... warm #wet #dry #table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Blood Loss, GI Losses ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... bradycardia β€’ Sinus pauses ... Differential #Diagnosis #Classification ... #Table #Causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... renal tubular dysfunction ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP Stable ... Signs of shock or ... #Pediatric #treatment
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock ... GAS in 30% of cases ... necrosis STSS Treatment ... Syndrome #STSS #treatment ... #management #diagnosis
Summary of Infections in which Steroids play a role in treatment
 β€’ TB meningitis
 β€’ TB
play a role in treatment ... pericarditis (select cases ... Refractory septic shock ... Indications #infections #management ... #treatment