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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... and Symptoms by Classification ... (Mechanical obstruction ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... (Mechanical obstruction ... #Table #CriticalCare
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Distributive Cardiogenic Obstructive ... #Types #Comparison
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... into valve ring OBSTRUCTIVE ... #Classification ... warm #wet #dry #table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive ... Shock: β€’ Obstructive ... in blood flow caused
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
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... post-ATN, post-obstructive ... #Classification ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... post-ATN, post-obstructive ... #Classification ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... , S3, crackles Obstructive ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
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