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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Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... Endocarditis - Post-MI ... #Classification ... Cardiogenic #Comparison #Table
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
Diastolic Function Grading ... moderate diastolic dysfunction ... electrocardiogram, MI ... #Grading #Classification ... Grades #Criteria #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
Right Heart Catheterization ... Trans-Pulmonary Gradient ... Diastolic Pulmonary Gradient ... mortality in inferior MI ... Ahmed Ghoneem, MD MSc
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 ... New/worsening MR ... Rx: NSTEMI/UA: stable ... Indications #Cardiac #catheterization
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... Hemorrhagic β†’ leading ... #Classification ... warm #wet #dry #table