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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Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... The cause of shock ... #Differential #Causes ... #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... #Classification ... #management #cold ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... - Most common type ... #Classification ... #types #diagnosis ... #management #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... in blood flow caused ... Pulmonary embolism ... #Shock #Types #Pathophysiology
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
tubular acidosis (Types ... and 2, but not type ... Low #Potassium #Table ... #Classification ... #Causes
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... , CVP > 12 β€’ Pulmonary ... Blood Loss, GI Losses ... #Classification ... Differential #Diagnosis #Types
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
PE-related) β€’ PESI class ... (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis #management