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NBME 20 Answers

nbme20/Block 3/Question#29

An 83-year-old man is brought to the emergency ...

Early septic shock

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submitted by hayayah(525),

Septic shock is a type of distributive shock which is marked by massive vasodilation (d/t inflammatory response) causing decreased SVR, decreased preload / PCWP, and increased CO.

smc213  Septic shock can also present with hypothermia <36C +1  
bethune  Why is it not gastrointestinal bleeding? +  
beanie368  GI bleeding would present with increased SVR as a response to hypovolemia +2