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 ... distributive (septic ... The cause of shock ... #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Vasodilation) - Septic ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... shock - Vomiting ... - Septic shock ... #Classification ... Cardiogenic #Comparison #Table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(1st line for septic ... (distributive, septic ... Bradyarrhythmias, Some cases ... of septic shock ... Inotropes #comparison #table
Approach to Neonatal Jaundice

Causes of pathologic hyperbilirubinemia can be classified as due to (1) increased bilirubin
Neonatal Jaundice Causes ... load (i.e., pre-hepatic ... conjugation (i.e., hepatic ... Neonatal #Jaundice #Algorithm ... #Differential #Workup
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... shock. ... ) β€’ Septic β†’ dysregulated ... #Classification ... warm #wet #dry #table
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
Diagnostic algorithm ... for the workup ... sensitivity for correct classification ... PTHrP, PTH-related peptide ... #Differential #Algorithm
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
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 β€’ Infectious: Hepatitis C, A,
Causes of Acute ... Vasculature β€’ Hepatic ... Artery: Shock Liver ... Differential #Diagnosis #Causes ... #Acute #algorithm
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... devices could have caused ... a septic shower ... Diagnosis #Management #Workup