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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... - Obstructive ... #Diagnosis #Management ... #Obstructive
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 ... - Myocarditis Obstructive ... (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 ... Findings Hypovolemic Distributive ... Cardiogenic Obstructive ... Types #Comparison #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... LV outflow Obstruction ... #Classification ... Cardiogenic #Comparison #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... β€’ Distributive ... Pancreatitis β€’ Obstructive ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary β€’ Hypotension ... and Reverse β€’ Obstructive ... β€’ Distributive Shock ... #Diagnosis #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... failure, and death DISTRIBUTIVE ... into valve ring OBSTRUCTIVE ... Types #diagnosis #management ... warm #wet #dry #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Ang II" - Sepsis/distributive ... Vasopressors #Inotropes #management ... #criticalcare #summary ... #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... Arrhythmia β€’ Obstructive ... #criticalcare #algorithm ... #treatment #management