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

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... cardiomyopathy Acute ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... Intractable vomiting Distributive ... neurogenic shock) Cardiogenic ... contractility) - Acute ... #Table #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
etiology of shock β€’ Distributive ... Neurogenic β€’ Cardiogenic ... : Acute MI, Acute ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Ang II" - Sepsis/distributive ... Milrinone - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
pressure, pallor Cardiogenic ... heart failure, acute ... based on cause Distributive ... Differential #Diagnosis #table ... #comparison #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... Types #diagnosis #management ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... failure, and death DISTRIBUTIVE ... myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... types #diagnosis #management