A 40 year old female patient complains of breathlessness. Patient gives a history of chest trauma 4 hours ago. General physical examination reveals altered mental status. Further investigations suggest- Blood pressure-80/60 mmHg. Heart rate- 120 bpm. Muffled heart sound. Jugular venous pressure- raised. Pulsus paradoxus – present. The patient is in which type of shock?
Correct Answer: Neurogenic
Description: Note- Jugular venous pressure is high in cardiogenic and obstructive shock.
Cardiac tamponade caused by chest trauma may lead to obstructive shock.
Muffled heart sound, hypotension, raised JVP → Beck’s triad → symbolises cardiac tamponade a cause for obstructive shock.
Category:
Pathology
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