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
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... decompensated heart ... #Classification ... Types #diagnosis #management ... #dry #table
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Algorithm Identify ... AP Stable? ... Signs of shock or ... heart failure ... #Algorithm #peds
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... decompensated heart ... ring OBSTRUCTIVE (Cold ... #Classification ... types #diagnosis #management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... MI - Severe heart ... Differential #Diagnosis #Classification ... #Table #CriticalCare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... goal-directed stepwise management ... except congenital heart ... #Shock #Algorithm ... #CriticalCare #Peds
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... anaphylaxis, toxins/meds ... delivery β€’ MI, Heart ... #Classification ... #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... anaphylaxis, toxins/meds ... delivery β€’ MI, Heart ... #Classification ... #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
has pre-existing heart ... esp in work-up/management ... of shock MICRO ... miss MDR bugs) MEDS ... - Could anything
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
) β€’ Valvular heart ... β€’ Hypertensive heart ... Pts: cardiogenic shock ... Delivery β€’ Stable ... teratogenic GDMT meds