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 ... END-ORGAN DYSFUNCTION ... Hemorrhagic β†’ leading ... #Classification ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... Hemorrhagic β†’ leading ... #Classification ... #criticalcare #differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... #Table #CriticalCare
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
Diastolic Function Grading ... moderate diastolic dysfunction ... atrium, PASP: pulmonary ... #Grading #Classification ... Grades #Criteria #Table
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Medications, Spinal Cord ... , CVP > 12 β€’ Pulmonary ... #Classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord ... β€’ Obstructive: Pulmonary ... #Differential # ... #criticalcare #algorithm
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
Gradient, TPG, ... Gradient, DPG) ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... Direct Fick is the GOLD
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... #Classification ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... #Classification ... #criticalcare #differential ... #causes #classification
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... Differential Diagnosis ... cardiomyopathy β€’ Pulmonary ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock