The image displays an open spiral-bound notebook filled with handwritten notes, possibly placed on top of another book or surface. The notes are predominantly in black ink on lined, off-white paper, suggesting academic study or record-keeping. The primary subject of the notes is medical, specifically focusing on "CLINICAL CLASSIFICATION OF SHOCK." One section details "A. Hypovolaemic" shock, categorizing its severity: * "Mild < 20% vol loss" with "normal output, restlessness." * "Moderate 20-40%," characterized by "Low urine output, restlessness." * "Severe > 40%," with "Low urine output, hypotension, very agitated." Other sections describe physiological mechanisms, including the role of the "Sympathetic NS and cortinol release" (Epinephrine, dopamine leading to vasoconstriction, increased heart rate, and cardiac contractility) and the "Renin-angiotensin-aldosterone" system (water and sodium conservation, vasoconstriction, increased blood volume, and blood pressure). "CLINICAL POINTERS" or "Vital Signs" for shock are also listed, including complaints of cold, postural hypotension, tachycardia, cool and pale moist skin, and concentrated urine output. Other visible terms include "Pathophysiology," "Immunosuppressive," and "Blood temperature < 35°C." The notebook appears well-used, with some creased pages. The image is taken from a slightly overhead perspective, highlighting the detailed handwritten content.Quiet domestic moments documented in Dar
IMAGE
gCykk8i6QRM7QpbzTYhIDSdq67F3

Champes

Creator

Wed, Apr 29, 2026, 04:25 PM

Dar es-Salaam, Tanzania

-6.77300, 39.25600

The image displays an open spiral-bound notebook filled with handwritten notes, possibly placed on top of another book or surface. The notes are predominantly in black ink on lined, off-white paper, s…read more

focused
informative
organized
analytical
diligent

Technical

ID

4754f2ab-84d5-4f90-a

𝕏finWT

Usage Rights

This media is free for non-commercial use with proper attribution.

Commercial use, AI/ML training, and derivative works are prohibited without explicit consent from the creator.

Licensed under CC BY-NC 4.0 with additional AI/ML restrictions. Full terms →

View event cluster