Classification of Hypotension and Shock

Dr. Beth Collins gave a great noon report Wednesday highlighting the workup of undifferentiated hypotension.

When approaching the hypotensive patient, it is important to keep in mind the main physiologic categories that contribute to the development of shock- defined as inadequate perfusion to sustain metabolic activities of end organ tissue (e.g. inadequate oxygen utilization)- as these will help guide the clinicians diagnostic and therapeutic plan.

Below is a diagram from a recent NEJM review on circulatory shock:

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