Cardiogenic shock physical examination: Difference between revisions
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* Distended [[jugular vein]]s due to increased [[jugular venous pressure]]. | * Distended [[jugular vein]]s due to increased [[jugular venous pressure]]. | ||
===Skin=== | ===Skin=== | ||
* [[Cyanosis]], [[Cool extremities|cool]], [[Cool extremities|clammy]], and mottled skin ([[cutis marmorata]]), due to vasoconstriction and subsequent hypoperfusion of the skin are often present. | * [[Cyanosis]], [[Cool extremities|cool]], [[Cool extremities|clammy]], and mottled skin ([[cutis marmorata]]), due to [[vasoconstriction]] and subsequent [[hypoperfusion]] of the [[skin]] are often present. | ||
===Lungs=== | ===Lungs=== | ||
* Rapid and deep respirations (hyperventilation) due to sympathetic nervous system stimulation by stretch receptors and as compensation for [[metabolic acidosis]]. | * Rapid and deep respirations ([[hyperventilation]]) due to [[sympathetic nervous system]] stimulation by [[stretch receptors]] and as compensation for [[metabolic acidosis]]. | ||
* [[Pulmonary edema]] (fluid in the lungs) due to insufficient pumping of the heart, fluid backs up into the lungs. | * [[Pulmonary edema]] (fluid in the lungs) due to insufficient pumping of the heart, fluid backs up into the lungs. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* [[Oliguria]] (low urine output) due insufficient [[renal]] [[perfusion]] is present if the condition persists. | * [[Oliguria]] ([[low urine output]]) due insufficient [[renal]] [[perfusion]] is present if the condition persists. | ||
==References== | ==References== |
Revision as of 20:17, 16 May 2014
Cardiogenic Shock Microchapters |
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Cardiogenic shock physical examination On the Web |
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Risk calculators and risk factors for Cardiogenic shock physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Physical Examination
Vital Signs
- Hypotension may be present due to a decrease in cardiac output.
- Tachycardia with a rapid, weak, thready rapid pulse is present.
- Pulse pressure is reduced.
Neck
- Distended jugular veins due to increased jugular venous pressure.
Skin
- Cyanosis, cool, clammy, and mottled skin (cutis marmorata), due to vasoconstriction and subsequent hypoperfusion of the skin are often present.
Lungs
- Rapid and deep respirations (hyperventilation) due to sympathetic nervous system stimulation by stretch receptors and as compensation for metabolic acidosis.
- Pulmonary edema (fluid in the lungs) due to insufficient pumping of the heart, fluid backs up into the lungs.
Genitourinary
- Oliguria (low urine output) due insufficient renal perfusion is present if the condition persists.