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 and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential #Diagnosis ... Classification #Table
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... Obstructive #Diagnosis ... Management #Types #Shock ... #Comparison #Table
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... #Cardiogenic #Shock ... Classification #CHF #Diagnosis ... #Table #Cardiology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... Inotropes #comparison #table ... #pharmacology #
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) β€’ Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... warm #wet #dry #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... summary #comparison #table ... #pharmacology #
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential #Diagnosis ... Classification #Table
Common Types of Elbow Trauma - Comparison Table
 - RADIAL HEAD SUBLUXATION (nursemaid's elbow) 
 -
Trauma - Comparison Table ... SUPRACONDYLAR FRACTURE #Diagnosis ... #Orthopedics #Elbow ... Types #Comparison #Table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis