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.
Discussions
Dr. Madhumati Varma
Diabetologist
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.
Diabetologist
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. Patil Pratik Pramod
Medical Oncologist
Its the only history available Ma'am.
No comorbidities.
35 years old patient.
Please give differentials on bradycardia and hypotension.
Thank you
Medical Oncologist
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
Diabetologist
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?
Diabetologist
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. Patil Pratik Pramod
Medical Oncologist
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
Medical Oncologist
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
Diabetologist
Ok may neurogenic ok may spinal medulla involved there center of vital control.now ok
Diabetologist
Ok may neurogenic ok may spinal medulla involved there center of vital control.now ok
▲ 1
17.Sep, 09:44pm
Dr. Amiya Kumar Chattopadhyay
Cardiologist
Neurogenic shock following head injury maybe the probable cause in this case.
Cardiologist
Neurogenic shock following head injury maybe the probable cause in this case.
▲ 1
26.Sep, 04:12pm
Dr. Richa Agarwal
Obstetrician And Gynaecologist
High thoracic and cervical cord Injury may cause bradycardia and hypotension in your patient
Obstetrician And Gynaecologist
High thoracic and cervical cord Injury may cause bradycardia and hypotension in your patient
14.Oct, 10:43am
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