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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table ... #Distribution #
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... hypertension Distributive ... pancreatitis β€’ Medication
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Distributive ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... management #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Intractable vomiting Distributive ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential ... Lactate > 1.5 Distributive ... Failure, Toxins/Medications ... , CVP > 12 β€’ Pulmonary ... Classification #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... Failure, Toxins/Medications ... β€’ Obstructive: Pulmonary ... #Differential #
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Ang II" - Sepsis/distributive ... summary #comparison #table ... #pharmacology # ... indications
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
, obstructive, distributive ... Cardiac Tamponade, Pulmonary ... Problem (↓ SVR): β€’ DISTRIBUTIVE ... thyrotoxicosis), Medications ... #diagnosis #differential