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 ... #Table #CriticalCare ... Symptoms #Findings #Comparison
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
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Findings Hypovolemic Distributive ... Cardiogenic Obstructive
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... exacerbation (any cause ... (Mechanical obstruction ... #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 ... dysfunction or obstruction ... as distributive ... The cause of shock
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 Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive ... Shock: β€’ Obstructive ... Distributive Shock
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 ... #shock #causes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... (distributive, ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... β€’ Distributive ... Pancreatitis β€’ Obstructive ... diagnosis #management #comparison ... #table