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 - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... #CriticalCare #
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison Table ... Ultrasound, Other Findings ... Types #Comparison #Table ... differentiating #criticalcare
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Syncope - Findings ... #Syncope #Differential ... Classification #Table ... #CriticalCare # ... Sign #Symptoms #Findings
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Inotropes #management #criticalcare ... summary #comparison #table ... #pharmacology # ... indications
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... #Differential # ... Classification #Table ... #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Failure, Toxins/Medications ... Classification #Differential ... Diagnosis #Types #criticalcare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... pressure, other findings ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Dehydration Shock ... #Differential # ... Diagnosis #criticalcare
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Shock can be caused ... The cause of shock ... is often clinically ... #Diagnosis #CriticalCare ... #Shock #Differential