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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... Hypovolemic - Cardiogenic ... #Diagnosis #Management ... #Types #Shock #Comparison ... #Table #Hypovolemic
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
and Symptoms by Classification ... Reflex Syncope - Cardiogenic ... Differential #Diagnosis #Classification ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... Vasodilation) - Cardiogenic ... Differential #Diagnosis #Classification ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Hypovolemic Distributive Cardiogenic ... #Table #differentiating
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... CM #Shock #Classification ... #Distributive #Cardiogenic ... #Comparison #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Dobutamine - Dobutrex - Cardiogenic ... Milrinone - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Cardioversion of patient’s with hemodynamically stable AF.
**Remember unstable patients should be immediately cardioverted**
#Managment #Cardiology #AFib #AtrialFibrillation
hemodynamically stable ... **Remember unstable ... cardioverted** #Managment ... #Cardiology #AFib ... Cardioversion #Algorithm
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
useful when A-fib ... #Fibrillation #AFib ... #Medications #management ... #treatment #comparison ... #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition: State ... myxedema, beriberi CARDIOGENIC ... Types #diagnosis #management ... warm #wet #dry #table