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 Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Medications, Spinal Cord ... Myocarditis, Arrhythmia Obstructive ... : β€’ Low CO / High ... Differential #Diagnosis #Types
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, β€œThink High ... or Think Low.” ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Obstructive #Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... (Mechanical obstruction ... to blood flow) ... #Table #CriticalCare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... into valve ring OBSTRUCTIVE ... #Classification ... warm #wet #dry #table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Shock: β€’ Obstructive ... characterized by low ... and normal or high ... #Shock #Types #Pathophysiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... CO / Low SVR: ... Medications, Spinal Cord ... Arrhythmia β€’ Obstructive ... #criticalcare #algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... areas, back of thigh ... post-ATN, post-obstructive ... Shock - Low CO ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... areas, back of thigh ... post-ATN, post-obstructive ... Shock - Low CO ... #Classification