Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... #Classification ... #management #cold ... warm #wet #dry #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... and etiology of shock ... inopressors #diagnosis #management ... #comparison #table
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
identification of the type ... #Diagnosis #Management ... Overlap #FirstLine #Differences ... #Algorithm #Treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Stable patients ... Risk Stratify Type ... What is the type ... medical and surgical management