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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... how the 4 types ... #Shock #Comparison ... #Table #Hypovolemic ... #Obstructive
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... - Hypovolemic ... depletion) - Distributive ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Types - Comparison ... Other Findings Hypovolemic ... Distributive Cardiogenic ... Obstructive - ... #Comparison #Table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... Comparison Obstructive ... Shock: β€’ Obstructive ... in blood flow caused
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... dysfunction or obstruction ... categorized as distributive ... cardiogenic or obstructive ... #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Hypovolemic ... Intractable vomiting Distributive ... exacerbation (any cause ... (Mechanical obstruction ... #Table #CriticalCare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... LV outflow Obstruction ... #Hypovolemic #Distributive ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... etiology of shock β€’ Distributive ... Arrhythmias / CHB β€’ Hypovolemic ... Pancreatitis β€’ Obstructive ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
MAP = CO x SVR Hypovolemic ... , S3, crackles Obstructive ... findings based on cause ... Distributive (↓ ... #comparison #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... failure, and death DISTRIBUTIVE ... into valve ring OBSTRUCTIVE ... cardiomyopathy HYPOVOLEMIC ... warm #wet #dry #table