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
Cardiogenic: Acute MI ... 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 ... contractility) - Acute MI ... #Differential # ... #Table #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... #Differential # ... Diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), LV Failure (MI ... Valves (wide open MR ... Obstruction (HOCM, critical ... #diagnosis #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... O2 delivery β€’ MI ... Classification #diagnosis ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... O2 delivery β€’ MI ... Classification #diagnosis ... #criticalcare #differential
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
first, with a fracture ... appear to be a stable ... and easy way to differentiate ... #Diagnosis #Orthopedics ... Ankle #Injury #Fracture
Prior anterior glenohumeral joint dislocation with Hill-Sachs fracture and Perthes lesion
Imaging Findings:
 β€’ The arrow is
surgical repair Differential ... diagnosis: β€’ Bankart ... Perthes #lesion #clinical ... #mri #clinical ... #Radiology #diagnosis
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 β€’ Imaging Findings:
 β€’ Large defect of the
Differential diagnosis ... BHAGL): Avulsion fracture ... Ligament #shoulder #clinical ... #mri #clinical ... #Radiology #diagnosis
Freiberg Infraction - MSK Radiology
Imaging Findings:
 β€’ Sclerosis of the 2nd MT head with flattening of
Controversy: Subchondral fracture ... Differential diagnosis ... Infraction #foot #clinical ... #mri #clinical ... #Radiology #diagnosis