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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... how the 4 types ... of shock affect ... Obstructive #Diagnosis ... #Management #Types
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... insufficiency, acute ... #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... MI, Acute Heart ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... contractility) - Acute ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... insufficiency, acute ... #Classification ... #types #diagnosis ... #management #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... cardiomyopathy Acute ... #Classification ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
evaluation in shock ... patients with acute ... classification ... #Diagnosis #FALLS ... #Algorithm
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
and Workup Algorithm ... Pre-Coronarv): Shock ... Distribution: Acute ... Occlusion β€’ Stable ... #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Algorithm for patients ... This is not for acute ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of ... shock remains undetermined ... (eg, acute valvular ... #Differential #Table