share email twitter ⋅ join discord whatsapp(2ck)
Free 120  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 
search for anything NEW!
NBME 20 Answers

nbme20/Block 3/Question#29 (29.9 difficulty score)
An 83-year-old man is brought to the ...
Early septic shockπŸ”,πŸ“Ί

Login to comment/vote.

Tutor box

Members from the Leaderboard offering 1-on-1 help: Want to be listed here? Email us!

submitted by hayayah(1100),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

eiScpt cksoh si a peyt fo dveitbtisiru sohkc chwhi is kdaerm by iasmsev daaiivntosol d(/t yloirnmatmfa oeprs)nes auscnig eadedecsr VSR, eedsacedr adreolp / PW,CP nda eaerdicsn CO.

smc213  Septic shock can also present with hypothermia <36C +3  
bethune  Why is it not gastrointestinal bleeding? +4  
beanie368  GI bleeding would present with increased SVR as a response to hypovolemia +6  
mysteriousmantyping  Why would this not be pulmonary embolism? +  
step1passfail  Pulmonary embolism would cause a decrease in cardiac output. There is increased pressure in the high compliant RV which can bulge and compress the LV, decreasing its preload. CO=Heart rate x stroke volume and stroke volume is partially determined by preload. If the pulmonary embolism is large enough, it can also obstruct the pulmonary vessels and subsequently not have enough blood going to the LA and LV, ultimately making the cardiac output near 0. +3  

submitted by spaceboy98(20),

The way i look at this is the temperature.

A hypothermic patient will almost always present with septic shock because septic shock can present as both hyperthermia or hypothermia