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 ... #Shock #Comparison
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Findings Hypovolemic Distributive ... #Types #Comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... depletion) - Distributive ... #Differential #Diagnosis ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... #Classification ... #Cardiogenic #Comparison ... #Table #Diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... Types - Pathophysiology ... Distributive Shock ... #Shock #Types #Pathophysiology ... #diagnosis #classification
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential Diagnosis ... Lactate > 1.5 Distributive ... Failure, Toxins/Medications ... #Types #criticalcare
Summary of Coagulation Deficiencies
Inherited:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Summary of Coagulation ... Anticoagulant Medications ... Acute DIC - Septic shock ... #table #comparison ... #diagnosis #hematology
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Ang II" - Sepsis/distributive ... #criticalcare #summary ... #comparison #table ... #pharmacology #indications
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... β€’ Distributive ... #inopressors #diagnosis ... #management #comparison ... #table