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 Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... pancreatitis), GI ... losses, overdiuresis ... #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... #Classification ... #management #cold ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Trauma β€’ GI ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... #Table #CriticalCare
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Anorexia GI ... and 2, but not type ... Low #Potassium #Table ... #Classification ... #Causes
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Medications, Spinal Cord ... β€’ Blood Loss, GI ... Losses, Third Spacing ... Differential #Diagnosis #Types
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... β€’ Hypovolemic: GI ... #Classification ... #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... β€’ Hypovolemic: GI ... #Classification ... #diagnosis #management ... #differential #causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Hypovolemic: Blood Loss, GI ... Losses, Third Spacing ... #criticalcare #algorithm ... #treatment #management
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Type 2 Diabetes ... Diagnosis and Management ... Algorithm Lifestyle ... β€’ Secondary Causes ... #DMII #Classification