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 ... how the 4 types ... - Obstructive ... #Shock #Comparison ... #Obstructive
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... depletion) - Distributive ... (Mechanical obstruction ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Types - Comparison ... Table JVP, IVC ... Findings Hypovolemic Distributive ... Cardiogenic Obstructive ... #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Intractable vomiting Distributive ... exacerbation (any cause ... - Myocarditis Obstructive ... (Mechanical obstruction ... #Table #CriticalCare
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... dysfunction or obstruction ... categorized as distributive ... cardiogenic or obstructive ... #Types #Classification
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... Comparison Obstructive ... Shock: β€’ Obstructive ... in blood flow caused
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... LV outflow Obstruction ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... etiology of shock β€’ Distributive ... Pancreatitis β€’ Obstructive ... diagnosis #management #comparison ... #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... Bradyarrhythmias, Some cases ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... failure, and death DISTRIBUTIVE ... β€’ Most common type ... into valve ring OBSTRUCTIVE ... warm #wet #dry #table