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 and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Medications, Spinal Cord Injury ... Myocarditis, Arrhythmia Obstructive ... Sophia_Hayes_MD #Shock #Classification ... Differential #Diagnosis #Types
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Ureterosigmoidostomy Urinary ... and 2, but not type ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... diabetes - Post-obstructive ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... or spinal cord injury ... into valve ring OBSTRUCTIVE ... warm #wet #dry #table
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
Types of Lightning ... ELECTRICAL INJURIES: Primary ... INJURY TYPES: 1 ... Low-Voltage <1000V ... ORTHO- fracture
β–Ί
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
Primary determination ... amperage, resistance, type ... INJURY TYPES 1. ... Low-Voltage <1000V ... ORTHO- fracture/
β–Ί
Classification for benign biliary strictures
Bismuth classification
I - Low CHD stricture, > 2 cm distal to hilum
II
Classification for ... I - Low CHD stricture ... right ducts V - Type ... with consequent obstruction ... C - Injury to duct