What type of shock presents with elevated Jugular Venous Pressure (JVP), low Cardiac Output (CO), hypotension, high Systemic Vascular Resistance (SVR), and hypoxia?

Differential Diagnosis for Shock

Question 31

• Single most likely diagnosis:
  • Cardiogenic shock (specifically Cardiac tamponade), due to the presence of raised JVP, decreased BP, and distant heart sounds, which are classic signs of cardiac tamponade.
• Other Likely diagnoses:
  • None, as the symptoms strongly point towards cardiogenic shock.
• Do Not Miss:
  • Tension pneumothorax, which can also cause decreased BP, raised JVP, and distant heart sounds, and is a medical emergency.
• Rare diagnoses:
  • None, as the symptoms provided have a clear correlation with cardiogenic shock.

Question 32

• Single most likely diagnosis:
  • Cardiogenic shock, due to the increased JVP, low cardiac output (COP), low BP, high systemic vascular resistance (SVR), and low oxygen levels, which are indicative of the heart's inability to pump effectively.
• Other Likely diagnoses:
  • Obstructive shock, as it can also present with increased JVP and low BP, although the high SVR is more characteristic of cardiogenic shock.
• Do Not Miss:
  • Pulmonary embolism, a cause of obstructive shock, which can present with similar symptoms and is a life-threatening condition.
• Rare diagnoses:
  • Constrictive pericarditis, which can mimic some symptoms of cardiogenic shock but is less common and would have distinct diagnostic features on imaging.