Shock scenario

Dr. Patil Pratik Pramod., MD GENERAL MEDICINE, MBBS

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.

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

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?

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

17.Sep, 08:54pm

Dr. Madhumati Varma
Diabetologist

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

17.Sep, 09:44pm

Dr. Amiya Kumar Chattopadhyay
Cardiologist

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

26.Sep, 04:12pm

Dr. Amiya Kumar Chattopadhyay
Cardiologist

Head injury with Neurogenic shock

10.Oct, 08:15pm

Dr. Richa Agarwal
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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