Dr. Gerald Diaz @GeraldMD
51.4M 14.5K 7.6K
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 ... - Hypovolemic ... depletion) - Distributive ... blood flow) Dr ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Hypovolemic ... Intractable vomiting Distributive ... pneumothorax Dr ... #Table #CriticalCare
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen #Hypovolemic ... #Distributive # ... Shock
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Other Findings Hypovolemic ... Distributive Cardiogenic ... Obstructive - ... Dr.
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... of Shock Hypovolemic ... LV outflow Obstruction ... #Hypovolemic #Distributive ... Cardiogenic #Comparison #Table
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% ... HYPOVOLEMIC 16% ... Cold and Wet OBSTRUCTIVE
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... Hypovolemic: ... hypertension Distributive ... Dysautonomia Obstructive ... pericarditis Dr
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Distributive ... Arrhythmias / CHB β€’ Hypovolemic ... Pancreatitis β€’ Obstructive ... underlying etiology Dr ... management #comparison #table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
shins and up), dry ... /flank edema) Distributive ... RP bleed) β€’ Hypovolemic ... post-ATN, post-obstructive ... #Classification
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 ... cardiomyopathy HYPOVOLEMIC ... #table