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===Common Causes===
===Common Causes===


* Cardiogenic shock
* '''Cardiogenic shock'''
:* ''Arrhythmic''
:* ''Arrhythmic''
::* [[Sinoatrial block]]
::* [[Sinoatrial block]]
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::* [[mitral regurgitation|Acute mitral regurgitation]]
::* [[mitral regurgitation|Acute mitral regurgitation]]
::* [[Ventricular septal defect]]
::* [[Ventricular septal defect]]
:* ''Myocardial''
:* ''Myopathic''
::* [[Cardiomyopathy]]
::* [[Cardiomyopathy]]
::* [[Myocardial contusion]]
::* [[Myocardial contusion]]
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::* [[ischemia|Postischemic]] [[myocardial stunning]]
::* [[ischemia|Postischemic]] [[myocardial stunning]]
::* [[Sepsis|Septic myocardial depression]]
::* [[Sepsis|Septic myocardial depression]]
::* [[Hypothyroidism|Hypothyroidism]]
:* ''Pharmacologic''
:* ''Pharmacologic''
::* [[Anthracycline]]
::* [[Anthracycline]]s
::* [[Calcium channel blockers]]
::* [[Calcium channel blockers]]


* Obstructive shock
* '''Obstructive shock'''
:* ''Decreased cardiac compliance''
:* ''Decreased cardiac compliance''
::* [[Cardiac tamponade]]
::* [[Cardiac tamponade]]
::* [[Constrictive pericarditis]]
::* [[Constrictive pericarditis]]
::* [[Idiopathic]]
::* [[Myocardial infarction|Postinfarction free wall rupture]]
::* [[Trauma]]
::* [[Tumor]]
::* [[Uremia]]
:* ''Decreased ventricular preload''
:* ''Decreased ventricular preload''
::* [[thorax|Intrathoracic]] [[tumor]]
::* [[thorax|Intrathoracic]] [[tumor]]
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::* [[Pulmonary embolism]]
::* [[Pulmonary embolism]]
::* [[pulmonary hypertension|Acute pulmonary hypertension]]
::* [[pulmonary hypertension|Acute pulmonary hypertension]]
::* [[Pulmonary embolism|Saddle embolus]]


* Hypovolemic shock
* '''Hypovolemic shock'''
:* ''Fluid depletion''
:* ''Fluid depletion''
::* [[Dehydration]]
::* [[Dehydration]]
::* [[Diarrhea]]
::* [[Diarrhea]]
::* [[Burn|Extensive burns]]
::* [[Polyuria]]
::* [[Polyuria]]
::* [[Vomiting]]
::* [[Vomiting]]
::* [[Fluid compartments#Third Spacing|Third spacing (as in endometritis, pancreatitis, peritonitis, pleural effusions)]]
:* ''Hemorrhage''
:* ''Hemorrhage''
::* [[Ectopic pregnancy]]
::* [[Gastrointestinal bleeding]]
::* [[Gastrointestinal bleeding]]
::* [[peptic ulcer|Perforated peptic ulcer]]
::* [[procedure|Post-procedural]] or [[surgery|post-surgical]]
::* [[Retroperitoneal hemorrhage]]
::* [[Retroperitoneal hemorrhage]]
::* [[ovarian cyst|Rupture ovarian cyst]]
::* [[Trauma]]
::* [[Trauma]]


* Distributive shock
* '''Distributive shock'''
:* [[Sepsis]]
::* [[Sepsis]]
:* [[Toxic shock syndrome]]
::* [[Toxic shock syndrome]]
:* [[Anaphylactic]] or [[anaphylactoid reaction]]
::* [[Anaphylactic]] or [[anaphylactoid reaction]]
:* [[Neurogenic shock]]
::* [[Neurogenic shock]]
:* ''Endocrinologic''
::* [[Adrenal crisis]]
::* [[Adrenal crisis]]
::* [[Thyroid storm]]


===Causes by Organ System===
===Causes by Organ System===
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{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[STEMI|Acute ST elevation MI]],  [[Aortic dissection]],  [[Aortic stenosis]],  [[Arrhythmia]],  [[Cardiac tamponade]],  [[Cardiomyopathy]],  [[Constrictive pericarditis]],  [[Endocarditis]],  [[Hypertrophic cardiomyopathy]],  [[Myocarditis]],  [[Papillary muscle rupture]], [[Dextran]],  [[Valvular stenosis]],  [[Vena cava]] [[occlusion]]
|-
|-
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Cidofovir]], [[Doxorubicin Hydrochloride]], [[Meropenem]], [[Pergolide]], [[Pilocarpine]], [[Pramipexole]], [[Protamine sulfate]], [[Theophylline]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Addisonian crisis]],  [[Hyperglycemia]],  [[Hyperthyroidism|Hyperthyroid]] [[coma]],  [[Hypoglycemia]],  [[Hypothyroidism|Hypothyroid]] [[coma]],  [[Pheochromocytoma]],  [[Pituitary failure]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Ascites]],  [[Gastrointestinal bleeding]],  [[Gastrointestinal]] [[volume depletion|fluid loss]],  [[Hepatic failure]],  [[Mesenteric ischemia]],  [[Pancreatitis]],  [[Peritonitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Blood transfusions]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Incision and drainage|Overdrainage]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Cerebrovascular accident]],  [[Cranium|Craniocerebral]] [[trauma]],  [[Paraplegia]],  [[Spinal anesthesia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Hemothorax]],  [[Pneumonia]],  [[PEEP|Positive end-expiratory pressure (PEEP)]],  [[Pulmonary embolism]],  [[Tension pneumothorax]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
| '''Renal/Electrolyte'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Polyuria]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Anaphylaxis]], [[Anaphylactoid]], [[Contrast media]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Dehydration]],  [[Drugs]],  [[Insect bites]],  [[Retroperitoneal hemorrhage]],  [[Soft tissue]] [[hemorrhage]],  [[Organ (anatomy)|Visceral]] [[rupture]]
|-
|-
|}
|}
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* [[Contrast media]]
* [[Contrast media]]
* [[Cranium|Craniocerebral]] [[trauma]]
* [[Cranium|Craniocerebral]] [[trauma]]
* [[Mesenteric ischemia]]
* [[valve|valvular]] [[stenosis]]
{{col-break|width=33%}}
* [[Dehydration]]
* [[Dehydration]]
* [[Incision and drainage|Overdrainage]]
*[[Doxorubicin Hydrochloride]]
* [[Drugs]]
* [[Drugs]]
{{col-break|width=33%}}
* [[Endocarditis]]
* [[Endocarditis]]
* [[PEEP|Positive end-expiratory pressure (PEEP)]]
* [[PEEP|Positive end-expiratory pressure (PEEP)]]
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* [[Hypothyroid]] [[coma]]
* [[Hypothyroid]] [[coma]]
* [[Insect bite]]s
* [[Insect bite]]s
* [[Pulmonary embolism]]
* [[Mesenteric ischemia]]
{{col-break|width=33%}}
* [[Myocarditis]]
* [[Myocarditis]]
* [[Vena cava]] [[occlusion]]
* [[Incision and drainage|Overdrainage]]
* [[Pancreatitis]]
* [[Pancreatitis]]
{{col-break|width=33%}}
* [[Papillary muscle]] [[rupture]]
* [[Papillary muscle]] [[rupture]]
* [[Paraplegia]]
* [[Paraplegia]]
*[[Pergolide]]
* [[Peritonitis]]
* [[Peritonitis]]
* [[Pheochromocytoma]]
* [[Pheochromocytoma]]
* [[Pituitary failure]]
* [[Pituitary failure]]
* [[Polyuria]]
* [[Pneumonia]]
* [[Pneumonia]]
* [[Pneumonia]]
* [[Pneumonia]]
* [[Polyuria]]
* [[Pulmonary embolism]]
* [[Retroperitoneal hemorrhage]]
* [[Retroperitoneal hemorrhage]]
* [[Organ (anatomy)|visceral]] [[rupture]]
* [[Soft tissue]] [[hemorrhage]]
* [[Soft tissue]] [[hemorrhage]]
* [[Spinal anesthesia]]
* [[Spinal anesthesia]]
* [[Tension pneumothorax]]
* [[Tension pneumothorax]]
* [[valve|Valvular]] [[stenosis]]
* [[Vena cava]] [[occlusion]]
* [[Vena cava]] [[occlusion]]
 
* [[Organ (anatomy)|Visceral]] [[rupture]]
{{col-end}}
{{col-end}}


Latest revision as of 01:41, 6 April 2015

Shock Microchapters

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Overview

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Causes

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Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

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Chest X Ray

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Other Imaging Findings

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Directions to Hospitals Treating Shock

Risk calculators and risk factors for Shock causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

Life Threatening Causes

Shock is a life-threatening condition and must be treated as such irrespective of the underlying cause.

Common Causes

  • Cardiogenic shock
  • Arrhythmic
  • Mechanical
  • Myopathic
  • Pharmacologic
  • Obstructive shock
  • Decreased cardiac compliance
  • Decreased ventricular preload
  • Increased ventricular afterload
  • Hypovolemic shock
  • Fluid depletion
  • Hemorrhage
  • Distributive shock

Causes by Organ System

Cardiovascular Acute ST elevation MI, Aortic dissection, Aortic stenosis, Arrhythmia, Cardiac tamponade, Cardiomyopathy, Constrictive pericarditis, Endocarditis, Hypertrophic cardiomyopathy, Myocarditis, Papillary muscle rupture, Dextran, Valvular stenosis, Vena cava occlusion
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect Cidofovir, Doxorubicin Hydrochloride, Meropenem, Pergolide, Pilocarpine, Pramipexole, Protamine sulfate, Theophylline
Ear Nose Throat No underlying causes
Endocrine Addisonian crisis, Hyperglycemia, Hyperthyroid coma, Hypoglycemia, Hypothyroid coma, Pheochromocytoma, Pituitary failure
Environmental No underlying causes
Gastroenterologic Ascites, Gastrointestinal bleeding, Gastrointestinal fluid loss, Hepatic failure, Mesenteric ischemia, Pancreatitis, Peritonitis
Genetic No underlying causes
Hematologic Blood transfusions
Iatrogenic Overdrainage
Infectious Disease No underlying causes
Musculoskeletal/Orthopedic No underlying causes
Neurologic Cerebrovascular accident, Craniocerebral trauma, Paraplegia, Spinal anesthesia
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Hemothorax, Pneumonia, Positive end-expiratory pressure (PEEP), Pulmonary embolism, Tension pneumothorax
Renal/Electrolyte Polyuria
Rheumatology/Immunology/Allergy Anaphylaxis, Anaphylactoid, Contrast media
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Dehydration, Drugs, Insect bites, Retroperitoneal hemorrhage, Soft tissue hemorrhage, Visceral rupture

Causes in Alphabetical Order

References


Template:WikiDoc Sources

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