Lecture Note: Common Forms of Shock






Oligemic shock
  • Hemorrhage
  • Volume depletion (e.g., vomiting, diarrhea, diuretic over-usage, ketoacidosis)
  • Internal sequestration (ascites, pancreatitis, intestinal obstruction)

Cardiogenic shock
  • Myopathic (acute MI, dilated cardiomyopathy)
  • Mechanical (acute mitral regurgitation, ventricular septal defect, severe aortic stenosis)
  • Arrhythmic

Extracardiac obstructive shock
  • Pericardial tamponade
  • Massive pulmonary embolism
  • Tension pneumothorax

Distributive shock (profound decrease in systemic vascular tone)
  • Sepsis
  • Toxic overdoses
  • Anaphylaxis
  • Neurogenic (e.g., spinal cord injury)
  • Endocrinologic (Addison’s disease, myxedema)


References :
Harrison's Manual of Medicine 17th Edition (McGraw-Hill) 2009 
 

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