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 ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare ... #Findings #Comparison
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... , Distributive Shock ... #Diagnosis #nephrology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Cardiogenic: Acute ... MI, Acute Heart ... #inopressors #diagnosis ... #management #comparison ... #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... cardiomyopathy Acute ... #Cardiogenic #Comparison ... #Table #Diagnosis ... #Features #Signs
Summary of Coagulation Deficiencies
Inherited:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Anticoagulant Medications ... DIC - Septic shock ... catastrophes, Acute ... Deficiencies #Summary #table ... #comparison #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... heart failure, acute ... Diagnosis #table ... #comparison #criticalcare
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... it difficult to differentiate ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
β–Ί
Inflammatory Myopathies
Dermatomyositis
 β€’ Onset: Subacute
 β€’ Pattern: Proximal
 β€’ CK: Up to 50X ULN
 β€’ Autoantibodies:
heliotrope, shawl sign ... Myositis β€’ Onset: Acute ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #table
Erythemas Summarized
Erythema ab igne
 β€’ A dermatosis that results from repeated exposure to heat (fires, heating
autoimmune conditions, medications ... idiopathic, and medications ... PrathitKulkarni #Erythemas #comparison ... #table #differential ... #diagnosis #dermatology