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 Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... death Common Clinical ... #Classification ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... death Common Clinical ... #Classification ... #differential #causes
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... caused by a massive ... Depends on the cause ... characterized by low ... external fluid loss leading
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... obstruction to blood flow ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... near arm tremor caused ... #Wing #Beating # ... Wilsons #Disease #clinical
β–Ί
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... near arm tremor caused ... #Wing #Beating # ... Wilsons #Disease #clinical
β–Ί
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
moving back to resting ... Phase 4 - True Resting ... maintain a negative resting ... Vaughan Williams Classification ... #Pharmacology #Classification
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
of Cardiogenic Shock ... Classification ... category C but getting ... patient who has clinical ... #Classification
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... in multipressor shock ... risk pathogens in setting ... Final dx: Septic shock ... Fulminans #Skin #Rash #clinical
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
type 4) - Salt wasting ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes