Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in blood flow caused by a massive pericardial effusion, cardiac tamponade, or tension pneumothorax.
 • Echocardiographic Signs: Depends on the cause. Pulmonary embolism or pneumothorax: dilated right ventricle, small left ventricle. Tamponade: pericardial effusion, small left and right ventricles, dilated inferior vena cava.

Distributive Shock:
 • Distributive Shock is Characterized by hypovolemia and hypotension. It is the result of vasodilatation and release of inflammatory mediators.
 • Echocardiographic Signs: Normal cardiac chambers and (usually) preserved contractility.

Cardiogenic Shock:
 • Cardiogenic shock is characterized by low cardiac output and inadequate oxygen transport. It can be the result of a myocardial infarction. end-stage cardiomyopathy. advanced valvular disease. severe myocarditis, or severe cardiac arrhythmias.
 • Echocardiographic Signs: Large ventricles and poor contractility.

Hypovolemic Shock: 
 • Hypovolemic shock is characterized by internal or external fluid loss leading to organ failure.
 • Echocardiographic Signs: Small cardiac chambers and normal or high contractility.

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Dr. Gerald Diaz @GeraldMD · 2 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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