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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diagnosis criticalcare comparison management overview acute aki hypokalemia hypotension injury inotropes kidney low nephrology pharmacology potassium syncope vasopressors
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... The cause of shock ... #Differential # ... Causes #Types #Classification
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... DISTRIBUTIVE 66% ... pancreatitis), GI losses ... #Types #Classification ... #diagnosis #differential
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... Intractable vomiting Distributive ... exacerbation (any cause ... #Table #CriticalCare
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... (distributive, ... Bradyarrhythmias, Some cases ... be used in all types ... Inotropes #comparison #table
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Lactate > 1.5 Distributive ... Blood Loss, GI Losses ... Diagnosis #Types
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... and 2, but not type ... Low #Potassium #Table ... #Classification ... #Causes
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Algorithm Hypovolemic ... hypertension Distributive ... #Diagnosis #Algorithm ... #shock #causes
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... , Cardiorenal, Distributive ... Shock, HRS, Hypercalcemia ... Diagnosis #nephrology #causes ... #algorithm
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... #Syncope #Differential ... #Diagnosis #Classification ... #Table #Causes
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... due to renal/Gl losses ... findings based on cause ... Distributive (↓ ... Diagnosis #table
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