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 Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... overdiuresis β€’ Cold ... β€’ MI, CHF β€’ Cold ... tamponade β€’ Cold ... #diagnosis #differential
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD ... Overlap and COPD ... The diagnosis of COPD ... identification of the type ... ACO = asthma-COPD
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... #management #cold ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Algorithm Step ... young or very old ... determine the type ... Hypernatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Medications, Spinal Cord ... #Differential # ... Diagnosis #Types
Hemolytic Anemia - Differential Diagnosis Algorithm
 β€’ Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... Agglutination - Cold ... #Diagnosis #Algorithm ... #workup #hematology
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... in particular) Evaluation ... Infections #HIVAIDS #workup ... #diagnosis #evaluation ... #differential #