A 40 year old female patient complains of breathlessness. Patient gives a history of chest trauma 4 hours ago. General physical examination reveals altered mental status. Further investigations suggest-
Blood pressure-80/60 mmHg.
Heart rate- 120 bpm.
Muffled heart sound.
Jugular venous pressure- raised.
Pulsus paradoxus - present.
The patient is in which type of shock?
Note- Jugular venous pressure is high in cardiogenic and obstructive shock.
Cardiac tamponade caused by chest trauma may lead to obstructive shock.
Muffled heart sound, hypotension, raised JVP → Beck’s triad → symbolises cardiac tamponade a cause for obstructive shock.
Neurogenic
Obstructive
Distributive
Hypovolemic