Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... diminished tissue perfusion ... CARDIOGENIC (Cold ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... and no apparent focus ... Shock or respiratory ... Shock evidenced ... , tachycardia, cold
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... SC image that could ... pinpoint the cause ... has pericardial effusion ... Echocardiogram #clinical
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... SC image that could ... pinpoint the cause ... has pericardial effusion ... Echocardiogram #clinical
Pericardial Lymphoma on POCUS Echocardiogram

“Anaconda inside pericardial cavity” - Pericardial effusion with mass inside in a
Pericardial Lymphoma on POCUS ... mass inside in a case ... lymphoma. 8 year old ... #Lymphoma #POCUS ... Echocardiogram #clinical
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
hemodynamically compromising effusion ... You have to pause ... large pericardial effusion ... Hemodynamically stable ... tamponade of shock