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Shock

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Shock: definition and diagnosis 446Hypovolaemic shock 450Cardiogenic shock 452Anaphylactic shock 456Septic shock: pathogenesis 458Shock, or acute circulatory failure, defines a state in which the delivery of oxygen and nutrients to the tissue is insufficient to meet basal metabolic needs, leading to tissue hypoxia, and, if persistent, to MOF and death. Shock results from tissue hypoperfusion and microcirculatory dysfunction, and should thus not be restricted to hypotension. Although frequent, hypotension is not mandatory for the diagnosis of shock. In the absence of hypotension, increased lactate levels may indicate tissue hypoper-fusion and can be used to diagnose shock (at least at its initiation)....
Title: Shock
Description:
Shock: definition and diagnosis 446Hypovolaemic shock 450Cardiogenic shock 452Anaphylactic shock 456Septic shock: pathogenesis 458Shock, or acute circulatory failure, defines a state in which the delivery of oxygen and nutrients to the tissue is insufficient to meet basal metabolic needs, leading to tissue hypoxia, and, if persistent, to MOF and death.
Shock results from tissue hypoperfusion and microcirculatory dysfunction, and should thus not be restricted to hypotension.
Although frequent, hypotension is not mandatory for the diagnosis of shock.
In the absence of hypotension, increased lactate levels may indicate tissue hypoper-fusion and can be used to diagnose shock (at least at its initiation).

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