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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Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
Diastolic Function Grading ... diastolic filling patterns ... atrium, PASP: pulmonary ... #Grading #Classification ... Grades #Criteria #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... #Classification ... #Distributive #Cardiogenic ... #Comparison #Table
Algorithm for Diagnosing Diastolic Dysfunction With Doppler Echocardiography
 1. Determine the age of the patient
Algorithm for Diagnosing ... mitral inflow pattern ... pressure (LVFP): #Algorithm ... Cardiology #Diagnosis #Grading ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... ) Cardiogenic ( ... 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 ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... Hemorrhagic β†’ leading ... #Classification
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Pulmonary embolism ... Cardiogenic Shock ... : β€’ Cardiogenic ... external fluid loss leading
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
Gradient, TPG, ... Gradient, DPG) ... correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... cardiomyopathy β€’ Pulmonary ... thrombus, RV systolic dysfunction ... Minority of Pts: cardiogenic ... shock and severe