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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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... #Classification ... Types #diagnosis #management ... #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Neuro: altered mental ... Ext: warm vs. cold ... #Classification ... #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Neuro: altered mental ... Ext: warm vs. cold ... #Classification ... #diagnosis #management ... #differential #causes
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Shock or respiratory ... Shock evidenced ... , tachycardia, cold ... bleeding: based on evaluation
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
) or septic shock ... indwelling devices could ... have caused a septic ... steps. ❽ Insert central ... Discuss ongoing management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... guide etiology & management ... as for septic shock ... limit them as able
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Evaluation: 1. ... deficit β€’ Shock ... HR and BP: β€’ Control ... Dissection #diagnosis #management
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function β‰₯ (or possibly MELD
Alcoholic Hepatitis - Management ... Algorithm Assess ... exclude other causes ... Multiorgan failure or shock ... N-acetylcysteine - Enteral