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* What kind of Shock?
 #134421  
  yelito61 - 10/31/06 23:19
 
  A 82–year-old diabetic is involved in an automobile accident, with severe thoracic and abdominal traumatic injuries. He is rushed to the hospital and placed in the intensive care unit. After a few hours, there is the rapid onset of myocardial dysfunction, hypotension, disseminated intravascular coagulation, and coma. This sequence of events most closely mimics what type of shock?

A. Anaphylactic
B. Cardiogenic
C. Hypovolemic
D. Neurogenic
E. Septic
 
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* Re:What kind of Shock?
#538591
  cd45 - 10/31/06 23:36
 
  hmmm!!!!!  
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* Re:What kind of Shock?
#538592
  saonew - 10/31/06 23:36
 
  got it thanks for the trick  
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* Re:What kind of Shock?
#538598
  bep111 - 10/31/06 23:41
 
  Nice qs.
Thx
 
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* Re:What kind of Shock?
#538912
  tshutshughamushi - 11/01/06 09:47
 
  how likely is septic shock to occur in few hrs.....could it be fat embolism in pul artery......it matches with hypovolaemic and DIC as well  
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* Re:What kind of Shock?
#540067
  usmle_gab - 11/01/06 19:41
 
  In this case, septic shock could have occurred in a few hours... remember he is diabetic --- ie. prone to infections and the wounds were severe (entry point for bacteria).

I agree that without DIC the answer would have been hypovolemic shock. Correct me if I am wrong ;)
 
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* Re:What kind of Shock?
#540222
  geannco - 11/01/06 22:48
 
  septic shock is the answered
 
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