Shock | Clinical Presentation

  Рет қаралды 458,385

Medscape

Medscape

Күн бұрын

What is shock? Shock is a life-threatening situation where the body doesn't have enough blood flow, which means cells and tissue don't receive oxygen which can lead to multiple organ failure. This video covers the pathophysiology surrounding the major forms of shock, including hypovolemic, cardiogenic, and distributive shock, as well as several subcategories like septic shock.

Пікірлер: 70
@najla1u218
@najla1u218 3 жыл бұрын
How 10 mins made me understand a whole concept 👏🏻👏🏻👏🏻
@DrAdnan
@DrAdnan 4 жыл бұрын
This video is so important for Internal Medicine rotations
@zhiwaskalimba4096
@zhiwaskalimba4096 3 жыл бұрын
thank you ver much, i personally prefere fast and short explanations, and u nailed it .
@zhiwaskalimba4096
@zhiwaskalimba4096 3 жыл бұрын
@@ariesjensen59 love how you guys r both the same account lol, who would see a reply of a reply in less than an hour lol
@Bill.R.124
@Bill.R.124 3 жыл бұрын
AWESOME> I teach shock to my nursing students and I'm going to watch this with them (says things better than I can in many ways)
@shubhamghodke3760
@shubhamghodke3760 Жыл бұрын
We need more teachers like you 😭
@rebeccagonzalez2407
@rebeccagonzalez2407 2 жыл бұрын
Great video! Super helpful! Thank you so much!
@grahammoulton3374
@grahammoulton3374 2 жыл бұрын
This is an excellent beginner's guide to shock ! Thank you!
@rachelwentz6253
@rachelwentz6253 2 жыл бұрын
Excellent overview!! Thank you!
@taniamandal5960
@taniamandal5960 Жыл бұрын
You are a magician...how you clear all concepts in just 10 min😮❤
@hikmatullahkhan2021
@hikmatullahkhan2021 3 жыл бұрын
Thanks sir, such a best video
@haridineevikhe8549
@haridineevikhe8549 3 жыл бұрын
The best video for shock ❤️❤️❤️
@Lastonbanda837
@Lastonbanda837 3 жыл бұрын
Thank you, much appreciated
@sragdharaghosh3582
@sragdharaghosh3582 Жыл бұрын
You are my life saver!
@annafelsner6632
@annafelsner6632 7 ай бұрын
never seen it that well explained!
@erayerge5233
@erayerge5233 2 жыл бұрын
ı always understand the mechansims in this channel. thanks a lot from Türkiye !
@sehrishilyas_
@sehrishilyas_ 3 жыл бұрын
Awesome 👍
@samrudhipratapwar1349
@samrudhipratapwar1349 Жыл бұрын
Worth watching ur video
@EiliyaLavasani
@EiliyaLavasani 2 ай бұрын
You really explained the whole concept in 10 minutes, thank you very much 🔥❤
@_Marthinzen
@_Marthinzen 4 жыл бұрын
Great!
@mehwishzulfiqar8352
@mehwishzulfiqar8352 2 жыл бұрын
Thank you so much ❤️
@mwangigideon7136
@mwangigideon7136 2 жыл бұрын
DAMN !!you guys are great
@tanmaysinha6647
@tanmaysinha6647 2 жыл бұрын
Speechless
@roroalzaben_
@roroalzaben_ 2 жыл бұрын
OMG THANK YOU VERY MUCH 🙏🙏
@KOMALKUMARI-ep8et
@KOMALKUMARI-ep8et 3 жыл бұрын
Thank u😊
@edlorens
@edlorens 4 жыл бұрын
Thanks.
@bisanbashkami4665
@bisanbashkami4665 2 жыл бұрын
Thank you so much 💕💕
@bublisoniyak6227
@bublisoniyak6227 Жыл бұрын
Thank you 🙌
@anamikamaji9519
@anamikamaji9519 2 жыл бұрын
Thank you♡
@mariamusman142
@mariamusman142 7 ай бұрын
Excellent♡
@sumanchoudhary8263
@sumanchoudhary8263 2 жыл бұрын
Thank you so much
@dagbalakkamara800
@dagbalakkamara800 2 жыл бұрын
So helpful
@muhammadkhaled1787
@muhammadkhaled1787 2 жыл бұрын
Pretty amazing
@boranorabora4431
@boranorabora4431 Ай бұрын
Thank yooooouu❤
@azadmirza1871
@azadmirza1871 Жыл бұрын
Awesome
@IN-rw5bl
@IN-rw5bl 2 жыл бұрын
Thanks
@tanzeelzainab8520
@tanzeelzainab8520 4 жыл бұрын
can u.load all.osnosis video
@aminsediqi2489
@aminsediqi2489 2 жыл бұрын
around 7:34- 8:22 - if we have microvasculature blockage - doesn't this increase resistance and therefore make it harder for blood to move around the body? If not why? Is it because blood gets shunted away from the capillaries via collaterals? and I'm assuming this has the added benefit of bypassing tissue perfusion?
@Dr.Nantiwa
@Dr.Nantiwa 2 жыл бұрын
I was confused as well
@clarkienabablit4460
@clarkienabablit4460 2 жыл бұрын
They never teach me like this during my college time, i spent 48 month in college, but here just 10min i learned a lot. My point is why should i spend my time for 4years in college if there's a way just only 24hrs i already finished my medical degree in college. It could be a lot of money that i saved in my bank account .
@fufu6517
@fufu6517 2 жыл бұрын
Are you tripping 😂
@abdulqayoom6754
@abdulqayoom6754 2 жыл бұрын
Like genuilyyyy besttttt
@muneezamemon4883
@muneezamemon4883 2 жыл бұрын
How there is increase in blood flow during distributive shock?? As BP in increased?
@naeemnawazmughal8916
@naeemnawazmughal8916 7 ай бұрын
Can anyone tell from where the content is taken i mean which book
@marcosmontanez5234
@marcosmontanez5234 3 жыл бұрын
💎
@ayushsharma8086
@ayushsharma8086 3 жыл бұрын
👌👌👌👌🙌🙌🙌🙌
@MBBSSTUDIESBYFk
@MBBSSTUDIESBYFk 2 жыл бұрын
🤩
@suryanshvaibhav
@suryanshvaibhav Жыл бұрын
Bruhh ❤
@sudhanshuvinayak5492
@sudhanshuvinayak5492 3 жыл бұрын
👍
@abdosayed9807
@abdosayed9807 Жыл бұрын
بسم الله ماشاء الله
@leilanin8020
@leilanin8020 9 ай бұрын
How is blood flow increased in distributive shock when blood pressure is decreased ?
@hongphuongnguyen5330
@hongphuongnguyen5330 Жыл бұрын
Ischemia: lack of blood flow to tissue (circulatory failure) --> lack of oxygen and nutrition --> cellular damage --> organ failure Shock: body-scale ischemia --> multiple organ failure Blood pressure determines perfusion of oxygen and nutrition to tissue Blood pressure = resistance x cardiac output = resistance x (heart rate x stroke volume) = resistance x heart rate x (end diastolic volume - end systolic volume) : low cardiac output --> low blood pressure --> low perfusion + Low blood flow --> low tissue's heat --> cool and clammy skin + Low mixed venous oxygen saturation Regulation (goal: normal perfusion): low cardiac output --> release of catecholamines, ADH and angiotensin II --> vasoconstriction --> increases resistance and heart rate --> increase blood pressure (low-volume-blood) SHOCK 1. Non-hemorrhagic (not-from-bleeding) --> occurs when suffering severe dehydration --> low blood volume --> low stroke volume --> ... 2. Hemorrhagic (from-bleeding): starts when loss of about 1 liter of blood (20%) --> low blood volume --> low stroke volume --> ... (heart-produced-by) SHOCK Trauma (usually heart attack) --> damage of heart muscle cell --> weak contraction --> low stroke volume --> ... Obstruction in heart (fluid or blood in pericardial sac) --> constriction of heart muscle from expanding --> low stroke volume --> ... : low resistance --> low blood pressure --> low distribution to (some) tissues + High blood flow --> high tissue's heat --> warm and flushed skin + Normal or high mixed venous oxygen saturation SHOCK: caused by leaky blood vessels or excessive vasodilation 2 subtypes: anaphylactic shock (allergic reaction) and neurogenic shock (damage of CNS --> can't control blood pressure) Most common: SHOCK (from pathogens in blood): endotoxins --> low perfusion --> direct damage of endothelial cells --> release of vasodilators --> activation of complement pathway --> activation of mast cells --> release of histamine (vasodilator) Pathogens --> activation of macrophages and neutrophils --> release of cytokines --> release of inflammatory molecules by endothelial cells --> damage of endothelial cells (again!) --> leaky blood vessel and more blood clotting --> low perfusion (more!) TREATMENT Goal: stabilize blood pressure --> vital organs can be perfused with blood --> fluid replacement and medications Often: supplemental oxygen and airway protection
@muhammadaliaslam4023
@muhammadaliaslam4023 2 жыл бұрын
💜❤️
@imaginarytechinhindi5507
@imaginarytechinhindi5507 5 ай бұрын
1:48 , gave Chubbyemu vibes
@ashi177
@ashi177 Жыл бұрын
Osmosis it is!
@praise2217
@praise2217 Жыл бұрын
🤗👍🙏🙏
@MsElke11
@MsElke11 3 жыл бұрын
Basically, I should be drinking more water.
@7h268
@7h268 3 жыл бұрын
That's what i thought too
@dr_sourav3691
@dr_sourav3691 2 жыл бұрын
I want to make some videos on medical topics by collaborating with you... Will u collaborate??
@inappropriatamentechitarra
@inappropriatamentechitarra 3 жыл бұрын
First reaction, shock! Shock bæcaus...
@mrshagan8613
@mrshagan8613 9 ай бұрын
Do uncosiosness
@Definitely299yearsold
@Definitely299yearsold 9 ай бұрын
Interpretion of my dad’s immune system
@caribaez5711
@caribaez5711 3 жыл бұрын
Did you steal the video from osmosis? This video is good but I hope osmosis is nice to you. Give credit to them.
@andrewden1699
@andrewden1699 2 жыл бұрын
Literally says Osmosis at the beginning
@muhammadsohailali5307
@muhammadsohailali5307 2 жыл бұрын
Are u here to clear your concepts or to accuse him for stealing?
@ajaj4538
@ajaj4538 Жыл бұрын
The end of the video says that others are free to share and adapt the video
@tanzeelzainab8520
@tanzeelzainab8520 4 жыл бұрын
they have dleted
@anuskasharma9110
@anuskasharma9110 Жыл бұрын
I cant understand
@ahmedalamery729
@ahmedalamery729 3 жыл бұрын
Arabic caption?!
@monashon2328
@monashon2328 11 ай бұрын
Thank you so much
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