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obese 72 yo - ED 15 min after collapsed at home > wife reports he's had upper abd pain, n/v for past 24 hrs PMHx: HTN and CAD diaphoretic 97.7 F P: 115/min, irr irregular RR: 22/min palp sys BP: 80 mmHg PE: no JVD; lungs clear; no murmurs/gallops; abd tender/rigid pulm art cath: dec CI, mean pulm art pressure, PCWP; inc SVR predominant type of shock in this pt?

Answer :

Final answer:

The patient is most likely suffering from cardiogenic shock which is a condition where the heart is unable to supply enough blood to the body. His history of hypertension and coronary artery disease, along with current symptoms and findings, support this diagnosis.

Explanation:

The patient in the question is suffering from a type of shock. Given his history of hypertension (HTN), coronary artery disease (CAD), and the presented symptoms such as upper abdominal pain, nausea/vomiting, and low systolic blood pressure, the most probable variety of shock the patient is likely experiencing would be cardiogenic shock. This is where the heart has been damaged to such an extent that it is unable to supply sufficient blood to the body. The decrease in cardiac index (CI), increased systemic vascular resistance (SVR), and decrease in mean pulmonary artery pressure presented in the pulmonary artery catheter findings further point to this diagnosis.

Learn more about Cardiogenic Shock here:

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