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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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Table and Mortality ... II) - Cold & ... Ill) - Cold & ... #CHF #Diagnosis ... #Table #Cardiology
Chronic Obstructive Pulmonary Disease (COPD)
 • COPD Definition
 • Role of PFTs
 • COPD Classification and
Disease (COPD) ... • COPD Definition ... Role of PFTs • COPD ... Classification ... and Evaluation (
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
pancreatitis), GI losses ... overdiuresis • Cold ... CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... tamponade • Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... diagnosis #management #cold ... warm #wet #dry #table
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Differential Diagnosis Pulmonary ... Acute: Trauma, COPD ... Chronic: Asthma, COPD ... decompensated CHF ... : Tumor, Vocal cord
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Medications, Spinal Cord ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Blood Loss, GI Losses
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment algorithms ... limitation, further evaluation ... #Management #Pulmonary ... #COPD #GOLD2017
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... Blood Loss, GI Losses ... #criticalcare #algorithm
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
hemorrhage) - Pulmonary ... e.g. pneumonia, COPD ... Differential #Diagnosis #Table ... #Causes #Sodium