Shock physical examination
Shock physical examination On the Web
American Roentgen Ray Society Images of Shock physical examination
Physical examination, along with medical history and clinical investigations, may aid in establishing diagnosis and directing mamngement of shock.
- Vital signs
- Blood pressure
- Mental status
- Decreased skin turgor and dry mucous membrane signify dehydration.
- Cool extremities, clammy and mottled skin, peripheral cyanosis, and delayed capillary refill are commonly noted in cardiogenic shock and hypovolemic shock, whereas warm and moist skin may represent hyperdynamic phase of septic shock.
- Extensive burns and severe trauma may be evident on inspection and are associated with significant fluid loss.
- Hyperpigmentation may be an indicator of adrenal crisis.
- Elevated jugular venous pressure (JVP) correlates with increased left ventricular end diastolic pressure (LVEDP) and decreased left ventricular ejection fraction (LVEF). Jugular venous distention or elevated JVP typically occurs in: