Septic shock: Difference between revisions

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{{DiseaseDisorder infobox |
#redirect:[[Sepsis]]
  Name        = Septic shock |
  ICD10      = A41.9 |
  ICD9        = {{ICD9|785.52}} |
}}
{{Sepsis}}
 
{{CMG}}
==[[Sepsis overview|Overview]]==
 
==[[Sepsis overview|Definitions]]==
==[[Sepsis risk factors|Risk Factors]]==
==[[Sepsis causes|Causes]]==
==[[Sepsis differential diagnosis|Differentiating Sepsis from other Diseases]]==
 
===Types===
A subclass of [[distributive shock]], shock refers specifically to decreased tissue [[perfusion]] resulting in end-organ dysfunction.  [[Cytokines]] TNFα, IL-1β, IL-6 released in a large scale inflammatory response results in massive [[vasodilation]], increased [[capillary]] permeability, decreased systemic vascular resistance, and [[hypotension]].  Hypotension reduces tissue perfusion pressure and thus tissue [[Hypoxia (medical)|hypoxia]] ensues.  Finally, in an attempt to offset decreased [[blood pressure]], [[ventricular]] dilatation and [[myocardium|myocardial]] dysfunction will occur.
 
===Causes===
The process of infection by bacteria or fungi can result in systemic signs and symptoms that are variously described. In rough order of severity, these are [[bacteremia]] or [[fungemia]]; [[septicemia]]; [[sepsis]], severe sepsis or sepsis syndrome; septic shock; refractory septic shock; [[multiple organ dysfunction syndrome]], and [[death]].
 
The condition develops as a response to certain [[microbe|microbial]] molecules which trigger the production and release of cellular mediators, such as [[tumor necrosis factors]] (TNF); these act to stimulate immune response.  Besides [[Tumor necrosis factor-alpha|TNFα]], other [[cytokine]]s involved in the development of septic shock include [[interleukin]]-1β, and [[interferon]] γ.
 
==[[Sepsis medical therapy|Medical therapy]]==
 
==References==
{{reflist|2}}
 
==See also==
*[[Anaphylactic shock]]
*[[Cardiogenic shock]]
*[[Neurogenic shock]]
*[[Sepsis]]
*[[Shock (medical)|Shock]]
*[[Systemic inflammatory response syndrome]] (SIRS)
[[Category:Medical emergencies]]
[[Category:Intensive care medicine]]
[[Category:Causes of death]]
[[Category:Infectious disease]]
[[Category:Emergency medicine]]
 
 
 
[[fr:Choc septique]]
[[pl:Wstrząs septyczny]]
[[sk:Septický šok]]
[[sv:Septisk chock]]
[[zh:敗血性休克]]
 
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Latest revision as of 18:40, 17 December 2012

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