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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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
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... Vasodilation) - Cardiogenic ... #Differential #Diagnosis ... Classification #Table ... Symptoms #Findings #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic β€’ Cardiogenic ... #inopressors #diagnosis ... #management #comparison ... #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Dobutamine - Dobutrex - Cardiogenic ... - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pressure, pallor Cardiogenic ... uw_IMresidency #Shock ... #table #comparison
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... myxedema, beriberi CARDIOGENIC ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Minority of Pts: cardiogenic ... shock and severe ... Delivery β€’ Stable ... Cardiomyopathy #diagnosis