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 ... as distributive ... The cause of shock ... #Differential #Causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... - Indication: Distributive ... (distributive, ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Cardiorenal, Distributive ... Shock, HRS, Hypercalcemia ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... Differential #Diagnosis #Algorithm ... #shock #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... Hypokalemia #diagnosis #Algorithm ... differential #potassium #nephrology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... /flank edema) Distributive ... #Classification ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... /flank edema) Distributive ... #Classification ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... due to renal/Gl losses ... findings based on cause ... Distributive (↓ ... Differential #Diagnosis #table
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