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Table 12-1

Categories of Shock

Distributive shock (profound decrease in systemic vascular tone)

  •  Sepsis
  •  Pancreatitis
  •  Anaphylaxis
  •  Neurogenic (e.g., spinal cord injury)
  •  Endocrine-related (Addison's disease, myxedema)

Cardiogenic shock

  •  Myopathic (acute MI, fulminant myocarditis)
  •  Mechanical (acute severe mitral regurgitation, acute severe aortic insufficiency [e.g., aortic dissection], severe aortic stenosis, acute VSD)
  •  Arrhythmic

Obstructive shock

  •  Pericardial tamponade
  •  Massive pulmonary embolism
  •  Tension pneumothorax
  • Hypovolemic shock
  •  Hemorrhage
  •  GI losses (vomiting, diarrhea)
  •  Burns
  •  Polyuria (diabetic ketoacidosis, diabetes insipidus)

Abbreviation: VSD, ventricular septal defect.