Shock causes: Difference between revisions
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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]] | ||
:* '' | :* ''Myopathic'' | ||
::* [[Cardiomyopathy]] | ::* [[Cardiomyopathy]] | ||
::* [[Myocardial contusion]] | ::* [[Myocardial contusion]] | ||
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::* [[Calcium channel blockers]] | ::* [[Calcium channel blockers]] | ||
* Obstructive shock | * '''Obstructive shock''' | ||
:* ''Decreased cardiac compliance'' | :* ''Decreased cardiac compliance'' | ||
::* [[Cardiac tamponade]] | ::* [[Cardiac tamponade]] | ||
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::* [[pulmonary hypertension|Acute pulmonary hypertension]] | ::* [[pulmonary hypertension|Acute pulmonary hypertension]] | ||
* Hypovolemic shock | * '''Hypovolemic shock''' | ||
:* ''Fluid depletion'' | :* ''Fluid depletion'' | ||
::* [[Dehydration]] | ::* [[Dehydration]] | ||
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::* [[Trauma]] | ::* [[Trauma]] | ||
* Distributive shock | * '''Distributive shock''' | ||
:* [[Sepsis]] | :* [[Sepsis]] | ||
:* [[Toxic shock syndrome]] | :* [[Toxic shock syndrome]] | ||
Revision as of 18:47, 8 April 2014
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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
- Sepsis
- Toxic shock syndrome
- Anaphylactic or anaphylactoid reaction
- Neurogenic shock
- Endocrinologic
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, Valvular stenosis, Vena cava occlusion |
| Chemical/Poisoning | No underlying causes |
| Dental | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| 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 |