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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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... II) - Cold & ... Ill) - Cold &
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... and Dry) β€’ Pulmonary ... embolism or severe pulmonary ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Medications, Spinal Cord ... , CVP > 12 β€’ Pulmonary ... Blood Loss, GI Losses ... #Classification
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
pHTN, Advanced COPD ... Pressure Vent, pHTN, Shock ... Disease: Asthma, COPD ... Differential #Diagnosis #causes ... #pulmonary
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord ... β€’ Obstructive: Pulmonary ... Blood Loss, GI Losses ... #criticalcare #algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
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