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
call it, “Think High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #High #Chest #Cardiogenic ... #Obstructive #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... post-ATN, post-obstructive ... , Arrhythmias Obstructive ... EmmGeezee #Shock #Classification ... #diagnosis #management
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 ... of the pattern ... extrahepatic biliary obstruction
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... ASA class If high ... event, follow ACC algorithm ... of Surgery: • High ... medical and surgical management