Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Cardiogenic #Obstructive
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... • Cardiogenic: Acute ... MI, Acute Heart ... Pancreatitis • Obstructive ... management #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... insufficiency, acute ... into valve ring OBSTRUCTIVE ... warm #wet #dry #table
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... extrahepatic biliary obstruction ... disease; T2DM, type
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Approach (when evaluation ... An acute rise or ... with previously stable ... disturbance, or acute ... Obstructive sleep
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... Risk Stratify Type ... What is the type ... perioperative #Risk #Evaluation