Shock scenario (Internal Medicine)

Dr. Pratik Patil., MD ( INTERNAL MEDICINE)


Medical Case Details:

The patient presented to the casualty ward after a road traffic accident with a pulse of 54 per minute and a blood pressure of 90/60 mm Hg. What kind of shock is this?
Please justify.



    Dr. Madhumati Varma

    Complete examination and history?
    Drug history? Or terminal stage not responding decompansited may occur hypotension and bradycardia.
    But only two lines information not sufficient to decide, poor presentation of case to think possible causes.

    17.Sep, 08:35pm

    Dr. Pratik Patil

    Its the only history available Ma'am.
    No comorbidities.
    35 years old patient.
    Please give differentials on bradycardia and hypotension.
    Thank you

    17.Sep, 08:42pm

    Dr. Madhumati Varma

    He speaks? Can take?
    Is he athletic?
    Is taking beta blocker?
    Is he takes drives?
    Shock should tachycardia, now may vago-vagal stimulation.?
    Is patient in coma? Then poor prognosis.
    Is there any missing beat , arrhythmia?
    I think if patient speak and family there try history
    Very difficult to think only pulse and BP, even patient in coma some finding examination?? Can suspect?

    ▲ 2
    17.Sep, 08:53pm

    Dr. Pratik Patil

    I though of neurogenic shock and proceeded with a spine MR and found multiple transecting lesions in spine.
    Patient is now on inotropes and showing no signs of improvements.
    Thank you

    17.Sep, 08:54pm

    Dr. Madhumati Varma

    Ok may neurogenic ok may spinal medulla involved there center of vital control.now ok

    ▲ 1
    17.Sep, 09:44pm

    Dr. Amiya Kumar Chattopadhyay

    Neurogenic shock following head injury maybe the probable cause in this case.

    ▲ 1
    26.Sep, 04:12pm

    Dr. Amiya Kumar Chattopadhyay

    Head injury with Neurogenic shock

    ▲ 1
    10.Oct, 08:15pm

    Dr. Richa Agarwal

    High thoracic and cervical cord Injury may cause bradycardia and hypotension in your patient

    14.Oct, 10:43am

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