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 Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... DISTRIBUTIVE 66% ... pancreatitis), GI losses ... and Dry #Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... #Table #CriticalCare
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... as distributive ... The cause of shock ... #Differential #Causes
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... tachycardia, dyspnea, cold ... failure, and death DISTRIBUTIVE ... #Classification ... warm #wet #dry #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... - Indication: Distributive ... (distributive, ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Lactate > 1.5 Distributive ... Medications, Spinal Cord ... Blood Loss, GI Losses ... #Classification
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... /flank edema) Distributive ... #Classification ... #differential #causes ... #classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... Medications, Spinal Cord ... Blood Loss, GI Losses ... #criticalcare #algorithm