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 ... depletion) - Distributive ... (Mechanical obstruction ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... contractility) - Acute ... (Mechanical obstruction ... #Table #CriticalCare
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... - Obstructive ... #Comparison #Table ... #Obstructive
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... ventricular outflow obstruction ... hypertension Distributive ... Dysautonomia Obstructive ... Differential #Diagnosis #Algorithm
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... cardiomyopathy Acute ... LV outflow Obstruction ... #Classification ... Cardiogenic #Comparison #Table
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison Table ... Findings Hypovolemic Distributive ... Cardiogenic Obstructive ... Types #Comparison #Table
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
protocol - POCUS evaluation ... an ultrasound evaluation ... patients with acute ... classification ... #Algorithm
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... dysfunction or obstruction ... as distributive ... cardiogenic or obstructive ... Causes #Types #Classification
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Distributive ... β€’ Cardiogenic: Acute ... MI, Acute Heart ... Pancreatitis β€’ Obstructive ... management #comparison #table
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Hypovolemic #Distributive ... #Shock