CEM @CEM
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen # ... Hypovolemic #Distributive
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... how the 4 types ... Distributive - Obstructive ... Shock #Comparison #Table ... #Hypovolemic #Cardiogenic
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Cardiogenic #Obstructive
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
neurogenic/spinal Hypovolemic ... RP bleed) • Hypovolemic ... post-ATN, post-obstructive ... , Arrhythmias Obstructive ... EmmGeezee #Shock #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
neurogenic/spinal Hypovolemic ... RP bleed) • Hypovolemic ... post-ATN, post-obstructive ... , Arrhythmias Obstructive ... EmmGeezee #Shock #Classification
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
urgent nephrology evaluation ... common culprits: Hypovolemia ... , Low effective ... volume, Urinary obstruction ... to assess for obstruction
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diabetes - Post-obstructive ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Adult Clinical Evaluation ... usually normal or low ... normal, can be low ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2