Types of Shock (Cardiogenic, Hypovolemic, Septic, Neurogenic, Anaphylactic)

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Dirty Medicine

Dirty Medicine

Күн бұрын

Пікірлер: 146
@JasonVaysberg
@JasonVaysberg 9 ай бұрын
2 Heads ups: if you get a weird question with warm extremities and increased PCWP, the PCWP is more specific for cardiogenic shock than anything with extremities. Same goes for temperature. Body temperature can be super low and extremities can not be warm, but O2 sat or CO is increased, the answer is septic.
@saritajacome3717
@saritajacome3717 11 ай бұрын
Can't express just how grateful I am for this channel and your dedication to making your resources accessible to all. Thank you for getting me through my home stretch of Step 1 dedicated!
@davidnduli85
@davidnduli85 Ай бұрын
❤❤❤ Thank You for helping the channel to make it possible for us to continue enjoying. May God bless you and the money be replaced 100000000000××××××××××××××××××
@reindolfarthur6553
@reindolfarthur6553 3 жыл бұрын
In summary O2 sat - increased in only septic CO - increased in only septic PCWP and CVP - increased in only cardiogenic SVR - decreased in all 3 types of distributive HR - decreased in only neurogenic
@kpulkit5627
@kpulkit5627 3 жыл бұрын
Cardiac tamponade(obstructive) being an exception with increased PCWP should also be added just for completion sake :)
@BobSmith-fx9sz
@BobSmith-fx9sz Жыл бұрын
Anaphylaxis and neurogenic should be labeled ⬆️ for CO. The confusion comes from the stages of distributive shocks. Initial stages - CO increases (due to compensation) Later stages - CO decreases (compensation is exhausted). --> Most text books show the early stage effect with the arrows going up ⬆️ (Google it).
@monzilachowdhury6590
@monzilachowdhury6590 3 жыл бұрын
Best lecture on " shock " I have ever heard !! May God bless you with all HIs grace.
@jacsbeanstalk
@jacsbeanstalk 7 ай бұрын
Thanks!
@davidmctague8060
@davidmctague8060 9 ай бұрын
Great Video and extremely high quality!!
@rupacharya6601
@rupacharya6601 Жыл бұрын
You forgot about Obstructive shock including PE, Tension pneumothorax, and Cardiac Tamponade? Others than this, your videos are excellent. Thank you so much!
@jt005m
@jt005m 4 жыл бұрын
Thank you so much for your dedication to medical student education! I discovered your channel 2 weeks before my STEP 1 exam date and binge watched almost all of your videos on 2x. You definitely earned me many "free points on test day!" Completely overjoyed with my score! Thanks again 🙂.
@isaiahreuben9251
@isaiahreuben9251 3 жыл бұрын
you probably dont give a shit but if you're stoned like me during the covid times you can watch pretty much all of the new movies and series on InstaFlixxer. Have been streaming with my girlfriend lately =)
@byronaarav2169
@byronaarav2169 3 жыл бұрын
@Isaiah Reuben definitely, been using InstaFlixxer for months myself :D
@franciscoenmanuelpatjimene1080
@franciscoenmanuelpatjimene1080 3 жыл бұрын
Eieie28u hoy.giu ñ. Ñ ñ g uxux Djzuxñ2ekrux hrtur6rtea4keirqi1jfufux Pifcjfxò80 Fg
@Be1smaht
@Be1smaht 3 жыл бұрын
That's how to do it lol. All my friends did the same every single one of them lol
@Be1smaht
@Be1smaht 2 жыл бұрын
Howdvyou do
@skarpengland
@skarpengland 5 жыл бұрын
Add Obstructive shock to the list! (Massive pulmonary Emb. causing shock) Then you get the Mnemonic NACHOS, and you can surf 3rd year, never forgetting the types of shock 😁
@worldsokayestmedic4568
@worldsokayestmedic4568 4 жыл бұрын
Good point!
@ghadeeralhazmi1726
@ghadeeralhazmi1726 4 жыл бұрын
What is NACHOS stand for?
@محمدتقينبيلظاهرحميدي
@محمدتقينبيلظاهرحميدي 4 жыл бұрын
@@ghadeeralhazmi1726 N: Neurogenic A: Anaphylactic C: Cardiogenic H: Hypovolemic O: Obstructive S: Septic
@ghadeeralhazmi1726
@ghadeeralhazmi1726 4 жыл бұрын
@@محمدتقينبيلظاهرحميدي thank you so much
@Andreaiscray
@Andreaiscray 3 жыл бұрын
Where in the initial flow chart would that be?
@aasemahsan
@aasemahsan Жыл бұрын
2:52 Shock & its types 6:33 Cardiogenic shock 10:17 Hypovolemic shock 13:04 Distributive shock
@ahmadal-saleh1539
@ahmadal-saleh1539 5 жыл бұрын
This is by far the best explanation to shocks, you're awesome man thanks a lot
@DirtyMedicine
@DirtyMedicine 5 жыл бұрын
Re-uploaded with one minor correction. Carry on :)
@skarpengland
@skarpengland 5 жыл бұрын
Whatcha think of my addition?😂 i was sooo happy when my professor in pathophys randomly mentioned Obstructive shock, and i had to ask if its really a thing! Finally my "NACHS" was complete, into NACHOS 👌
@tahseenmunshi6255
@tahseenmunshi6255 5 жыл бұрын
Almost put ME into shock there for a sec cause I was mid- video LOL. Whew. Can you make a video covering endocrine? Like all the stimulation/suppression tests for cushing's, ACTH, insipidus, etc cause those are really confusing and maybe one on all the hormones and their effects (especially big ones like insulin)
@arianisabajrami8982
@arianisabajrami8982 5 жыл бұрын
Please can you do the Km and Vmax video they removed it..my friends and I love your videos and we noticed that they removed this one..please can you fix the problem..thank you very much you are the best
@KardoQSaeed
@KardoQSaeed 5 жыл бұрын
Can you please re-upload the vaccination video
@katiealiaga9624
@katiealiaga9624 5 жыл бұрын
Can you please re-upload the diabetes video? It was so good but I just noticed it was removed
@damnboy766
@damnboy766 5 жыл бұрын
Please cover high yield Microbiology..Your videos are a Blessing to understand key concepts,ECG stroke and Biochem Series helped immensely..You really chop off the unneccessary fat that no one needs but sadly is a part of every resource..ECG is always made so difficult by everyone that by the time you reach the juicy part,you've lost focus completely..For exam purpose ECG must be taught like you do
@ggthewhale
@ggthewhale Жыл бұрын
bruh just do sketchy
@rachelcarrasquillo283
@rachelcarrasquillo283 Жыл бұрын
First aid says cardiac output increases for sepsis and anaphylaxis
@gautamdubey6526
@gautamdubey6526 6 күн бұрын
Initially the CO will increase due to excess vasodilation and huge decrease in systemic vascular resistance ( after load), but I think eventually as the shock becomes more severe , the heart will start to fail and hence the CO will also decrease in later stages.
@ayshasarmad1240
@ayshasarmad1240 5 жыл бұрын
May God always bless you with THE BEST in your life !
@dranandvarunachari
@dranandvarunachari 5 жыл бұрын
Could you please make a video on lipid lowering agents? I think it would tie really well with your biochemistry lecture on lipids. Thanks
@reb1175
@reb1175 3 жыл бұрын
Best explanation I have seen for shock. Cheers
@aayusmabhusal4780
@aayusmabhusal4780 3 жыл бұрын
This is by far the best explanation i have come across on the topic. Thank you!!
@ParthPatel-so9ec
@ParthPatel-so9ec 5 жыл бұрын
This is picture of early septic shock , because later on when the septic shock progresses , reduction in cardiac output occur. Increase in Oxygen sat ( mixed venous O2 sat ) occurs because high blood flow rates in septic shock do not allow complete extraction of O2 by tissues so sat increases.
@menderinabebe9578
@menderinabebe9578 3 жыл бұрын
Mixed venous oxygen is O2saturation in this vedio
@hvymtal8566
@hvymtal8566 3 жыл бұрын
EMT here. Recently completed a class, NREMT stuff coming up. I ran through some coaching materials and realized I needed to review the pathophys of shock. Your video helped out a lot with refreshing what I needed to know at my provider level about shock, and then some. And then quite a bit more, actually xD The reminder that hypovolemia could have non-hemorrhagic causes was one I definitely needed; same for the realization that septic shock was actually pretty easy to explain
@lamiahauter6211
@lamiahauter6211 9 ай бұрын
YOU ARE AMAZING!!! Thank you so much for the great explanation. cardio concepts make so much sense after watching your videos
@krishnapatel5189
@krishnapatel5189 Жыл бұрын
Cardiogenic - CO DOWN only H(R)ypoSvRolemic - HR and SVR UP only Neurogenic - everything DOWN Septic - COHR UP only ("COHRUP") Anaphylactic - HR UP only ("HRUP") O2 sat down except for Septic
@nicolelemons5833
@nicolelemons5833 6 ай бұрын
can you do something on dermatology it is so many lesions
@ermiyasweldesemayat6582
@ermiyasweldesemayat6582 2 жыл бұрын
How about Obstructive shock, you did not discuss that? Otherwise excellent presentation.
@slman8080
@slman8080 Жыл бұрын
why is cardiac output increased in Septic shock and decreased in other types of shock?
@HouseGirlASMR
@HouseGirlASMR Жыл бұрын
so on uworld- it said for cardiogenic shock that the PCWP is decreased bc left sided filling pressures are reduced
@nelsonlouis5491
@nelsonlouis5491 5 жыл бұрын
Can you make a pharmacological video on blood thinners? I think it would be really useful
@jeremiahbaker6396
@jeremiahbaker6396 Жыл бұрын
this playlist is goated
@weeklyfont
@weeklyfont 5 жыл бұрын
I got rolled by almost every shock question in UWorld so thank you based dirty
@MahnoorWaqas-u6e
@MahnoorWaqas-u6e Жыл бұрын
Cardiac tamponade is the same as obstructive shock. Other types of Obstructive shock ( pul embolism etc) are same too except low PCWP and increased SV02. hope that helps!
@rydertanaka1771
@rydertanaka1771 6 ай бұрын
B: Hypovolemic shock C. Obstructive shock D. Distributive / anaphylactic shock
@marierosekengmokemkeng5025
@marierosekengmokemkeng5025 4 жыл бұрын
This is the best lecture to date. Please more. 🙏🏾
@superdragonsunshine
@superdragonsunshine 3 жыл бұрын
This literally makes shock so free.
@BB-of1un
@BB-of1un 4 ай бұрын
Thanks jyo
@محمدامجد-ظ7ر
@محمدامجد-ظ7ر 4 жыл бұрын
thnks
@hanansworldontrack
@hanansworldontrack 2 жыл бұрын
just in time to understand this as I am going to write my mccqe1 next week and I had trouble understanding this .Thank you very mch
@nico6503
@nico6503 2 жыл бұрын
first aid seems to say that anaphylaxis increases CO, not decrease like you have in the chart
@jbwmed26
@jbwmed26 Жыл бұрын
I was going to say the same thing
@ouridarehal8896
@ouridarehal8896 Жыл бұрын
Excellent video, thank you❤
@mariaisabelcuriel2963
@mariaisabelcuriel2963 3 жыл бұрын
Hey CO in anaphylactic shock is increase 🙂
@llouvakates
@llouvakates 3 жыл бұрын
The best explanation of different types of shock!!!! thank you!
@nieznanyx
@nieznanyx 2 жыл бұрын
in hypovolemic shock -- shouldnt the HR and SVR be increased in response to a low CO ?? low CO compensation is increased HR .. and baroreceptor activity causing smooth muscle contractivity by releasing norepi .. thus SVR should be increased to bring up or equalize the hypovolemia state no??
@rayray9508
@rayray9508 2 жыл бұрын
fav video on yt
@drimranulhoda4173
@drimranulhoda4173 5 жыл бұрын
You are Awesome Sir. Thanks a lot... respect and appreciation
@MahnoorWaqas-u6e
@MahnoorWaqas-u6e Жыл бұрын
Isn’t CO increased in anaphylaxis
@Dasming
@Dasming Жыл бұрын
This was the best explanation for all the shock, thank you so much ☺️
@hossiengoli6493
@hossiengoli6493 Жыл бұрын
Thank you that was amaizing
@Dragonflame-c7f
@Dragonflame-c7f 7 ай бұрын
is there any pdf for each system?
@charlieadams5256
@charlieadams5256 Жыл бұрын
What about the explanation for obstructive shock?
@Wonwon_No.11
@Wonwon_No.11 3 жыл бұрын
Thank you so much 😭😭😭 best explaination
@GaryCole-zr4kl
@GaryCole-zr4kl Ай бұрын
Thank you.
@m.farhananjum7717
@m.farhananjum7717 3 жыл бұрын
Nice 1 lectures plz next Lecture with adde..... Management
@bengeorgec5613
@bengeorgec5613 5 жыл бұрын
Woudnt compensatory mechanism of increasing SVR in cardiogenic shock make things worse? I mean if the SVR increases then the blood can't go out from the heart into the blood vessels. Wouldn't that make things worse?
@DirtyMedicine
@DirtyMedicine 5 жыл бұрын
Precisely. Hence the reason shock is so serious and is a rapidly deteriorating cycle if not treated
@bengeorgec5613
@bengeorgec5613 5 жыл бұрын
Thank you so much. I understand the concept now
@agentet6335
@agentet6335 Жыл бұрын
THANK YOU SO MUCH!!! This video is so simple to understand! I LOVED IT!!
@princess_katana
@princess_katana 3 жыл бұрын
Woow, amazing explanation! Much better than my lectures! Thank you for making it easier to understand!
@mohammedhusseinqadir9800
@mohammedhusseinqadir9800 3 жыл бұрын
Thank you Sir for such amazing video.
@nonimd6239
@nonimd6239 2 жыл бұрын
I got one question from this video in my real deal.. Thank you dirty..
@AhmedHassan-yw6jh
@AhmedHassan-yw6jh 2 жыл бұрын
oxygen sats down for hypovolemic shock due to water loss?
@obnoxiouscat6269
@obnoxiouscat6269 Жыл бұрын
so useful thank you
@mr.h9921
@mr.h9921 Жыл бұрын
Thank you so much
@proudmedico2055
@proudmedico2055 4 жыл бұрын
helpful for neet pg also thank you
@agnessanesuchikomo6912
@agnessanesuchikomo6912 9 ай бұрын
In nursing school right now 😂...l love this
@keosokhy9633
@keosokhy9633 4 жыл бұрын
thanks you so much for great lessons
@pinapplekitty
@pinapplekitty 2 жыл бұрын
what about pulmonary embolism? couldn't that be a cause of shock?
@reemabdullah9877
@reemabdullah9877 4 жыл бұрын
when we say PCWP, what do we mean? the pulmonary veins? or the left atrial pressure?
@iMaMyst3ry
@iMaMyst3ry 3 жыл бұрын
Left atrial pressure
@saidalabry6163
@saidalabry6163 4 жыл бұрын
Thank you for the video
@poojagoswami9368
@poojagoswami9368 3 жыл бұрын
this was incredibly useful!
@brimbon_duke
@brimbon_duke 2 жыл бұрын
Thank you ❤️
@tariqhassan7306
@tariqhassan7306 3 жыл бұрын
U r excellent...
@harvey2733
@harvey2733 4 жыл бұрын
Sir can u please make video on various genetic terms given in genetic section of First aid? Thank you
@fawadshah9851
@fawadshah9851 3 жыл бұрын
Thank you Sir
3 жыл бұрын
Thank you so much!!! You're amazing and your videos are so clearly explained
@picfunmedicosis1187
@picfunmedicosis1187 4 жыл бұрын
Great video
@7979cute
@7979cute 4 жыл бұрын
Anaphylactic shock increase CO.
@kdawson8981
@kdawson8981 4 жыл бұрын
Thank you!
@NaseamAlagily
@NaseamAlagily 2 ай бұрын
Please pdf download
@talal200ify
@talal200ify 2 жыл бұрын
you are a hero
@bhavyareddy6566
@bhavyareddy6566 4 жыл бұрын
Doesn’t O2 saturation increase in all of distributive shock types as they are all high flow states which doesn’t allow complete oxygen extraction ?
@menderinabebe9578
@menderinabebe9578 3 жыл бұрын
Except neurogonic shoch
@humrashamim276
@humrashamim276 5 жыл бұрын
another great video 👍🏻
@atypicalgowda
@atypicalgowda 5 жыл бұрын
re upload?
@r.a.m.m.6625
@r.a.m.m.6625 4 жыл бұрын
Thank you
@javeriaijaz1012
@javeriaijaz1012 3 жыл бұрын
I've proff tomorrow and ngl this topic scares me
@BasitAli-oy5sz
@BasitAli-oy5sz 3 жыл бұрын
Hows ur exam going on ?
@rradventures1766
@rradventures1766 4 жыл бұрын
Hi Dirty (and everyone :) ) - does anyone know if there's a video on TORCH infections? Maybe I'm missing something
@DirtyMedicine
@DirtyMedicine 4 жыл бұрын
i dont currently have one, but maybe soon!
@rradventures1766
@rradventures1766 4 жыл бұрын
@@DirtyMedicine Gotcha, sounds good! Thanks so much for replying!!!
@aditiyadav274
@aditiyadav274 4 ай бұрын
Wow thanks!!!
@zahraanoor7187
@zahraanoor7187 2 жыл бұрын
شكرا
@mohammadtarabeih7464
@mohammadtarabeih7464 Жыл бұрын
god bless your sole
@turnup2____worldwideinc.646
@turnup2____worldwideinc.646 4 жыл бұрын
Great pathophys explanation! Quick and dirty just like my...
@yukuroma
@yukuroma 2 жыл бұрын
Obstructive Shock: ↓CO, ↑HR, ↑CVP, ↓PCWP (Except Tamponade ↑), ↑SVR, ↓O2 Sat. Is that correct?
@Jasmine-ll8qu
@Jasmine-ll8qu 3 жыл бұрын
I love you. Thanks
@Be1smaht
@Be1smaht 3 жыл бұрын
So I'll go over this 50 more times lol
@SixOhFive
@SixOhFive 24 күн бұрын
I only want high yield!
@kimsunsuhan1524
@kimsunsuhan1524 2 жыл бұрын
I would very much like to hug you Respectfully
@HomeHome-he2xq
@HomeHome-he2xq 4 жыл бұрын
Love u man!
@drnaazneenmohammed1094
@drnaazneenmohammed1094 4 жыл бұрын
3 : 00
@sxli3340
@sxli3340 4 жыл бұрын
more hard topics
@missswatimahapatra
@missswatimahapatra 4 жыл бұрын
oh dirty, you're too good to us TY
@karelperez4187
@karelperez4187 9 ай бұрын
I just created a good nemonic here: distributive shock are SAN, septic, anaphylactic and neurogenic, same as SAM which is a distributor of food in supermarkets 😅
@jawadfarooq1
@jawadfarooq1 4 жыл бұрын
love from Pakistan
@bhaveshgarg8142
@bhaveshgarg8142 3 жыл бұрын
God do exist
@GintamaEnjoyer_1
@GintamaEnjoyer_1 4 жыл бұрын
О-о-о, какие люди! я тоже пытаюсь снимать крутой контент как и у тебя зацените, когда будет время
@SultanBenjamin
@SultanBenjamin 3 жыл бұрын
i love u
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