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 ... of shock affect ... #Shock #Comparison ... #Obstructive
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Findings Hypovolemic Distributive ... Cardiogenic Obstructive ... #Types #Comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... and Symptoms by Classification ... depletion) - Distributive ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... DISTRIBUTIVE 66% ... pancreatitis), GI losses ... Cold and Wet OBSTRUCTIVE ... #Types #Classification
Shock Classification Types - Pathophysiology Comparison

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

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

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... LV outflow Obstruction ... #Classification ... #Cardiogenic #Comparison ... #Table #Diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(distributive, ... Bradyarrhythmias, Some cases ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Lactate > 1.5 Distributive ... Myocarditis, Arrhythmia Obstructive ... Blood Loss, GI Losses ... Differential #Diagnosis #Types
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... β€’ Distributive ... Pancreatitis β€’ Obstructive ... diagnosis #management #comparison ... #table