Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis criticalcare classification management algorithm causes clinical ctchest pharmacology radiology radiologyassistant summary symptoms treatment vasopressors associations carcinomatosis cardiology cardiomyopathy chambers
Shock - Findings, Signs and Symptoms by Classification - Hypovolemic (Intravascular volume depletion) - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... pancreatitis • Medication ... #Hypotension #Differential
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... diagnosis #management #comparison ... #table
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... criticalcare #summary #comparison ... #table #pharmacology ... #indications
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Classification #Differential
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Dehydration Shock ... #Differential #
Summary of Coagulation Deficiencies Inherited: • Hemophilia A - Deficiency of Factor VIII • Hemophilia B -
Anticoagulant Medications ... Acute DIC - Septic shock ... Deficiencies #Summary #table ... #comparison #diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... or the type of shock ... severe cardiogenic shock ... #NormalValues #Differential ... #Table #Chambers
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
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