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 ... The cause of shock ... #Diagnosis #CriticalCare ... #Causes #Types
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Blood Loss, GI Losses ... #Classification ... Differential #Diagnosis #Types ... #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... characterized by low ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... obstruction to blood flow ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
and 2, but not type ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
1.5 High CO / Low ... Spinal Cord Injury Low ... Blood Loss, GI Losses ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... Bradyarrhythmias, Some cases ... be used in all types ... Inotropes #comparison #table ... #pharmacology #criticalcare
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Differential Diagnosis Algorithm ... Low intake ... Differential #Diagnosis #Algorithm ... #Causes #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
- Low CO and therefore ... #Classification ... management #Overview #criticalcare ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
- Low CO and therefore ... #Classification ... management #Overview #criticalcare ... #differential #causes ... #classification