Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 ... vasodilatation, myocardial dysfunction ... #Differential # ... Causes #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... • Most common type ... #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 ... - Most common type ... #Classification ... #criticalcare #differential
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... Indications #Cardiac #catheterization ... #cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... diagnosis or the type ... of shock remains ... #NormalValues #Differential ... #Table #Chambers
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiac MRI, Cardiac Catheterization ... Amyloid, Wild Type ... Mucopolysaccharidosis Type ... Diagnosis #Causes #differential ... #cardiology #algorithm
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... Differential Diagnosis ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock ... during Delivery • Stable