]> 2026-07-31T12:14:22+00:00 WBR0396 0 en Late septic shock '''Incorrect'''-In late septic shock, patients become obtunded with decreased cardiac output and hypotension that is not reversible by volume replacement. Early septic shock '''Correct'''-The patient suffers form pyogenic sacroiliitis that has complicated into septic shock and DIC. The early phase of septic shock is characterized by vasodilation, resulting in a warm, flushed patient with a normal or elevated cardiac output, decreased peripheral vascular resistance, and normal pulmonary capillary wedge pressure. Fever, agitation, or confusion is often present. Cardiogenic shock Hypovolemic shock '''Incorrect'''-Hypovolemic shock is characterized by a physical examination consistent with volume depletion (tachycardia; hypotension; cool, clammy skin; poor capillary refill) and decreased PCWP. Neurogenic shock '''Incorrect'''-Neurogenic shock follows a spinal cord injury (warm skin, bradycardia, neurologic deficits) and is characterized by a decreased PCWP. Inpatient Facilities Emergency Room Vendhan Ramanujam A 31 year old woman who was 23 weeks pregnant presented with acute severe pain in her left buttock region radiating to the leg and increasing with ambulation. No underlying pathologies or drug abuse were present and no systemic symptoms were encountered. Backache was initially attributed to nerve compression. NSAID and rest were prescribed. After 4 days, the pain became worse. The patient appears to be warm and flushed. Physical examination further revealed a temperature of 39.2 C, pulse rate of 126 beats/minute, respiratory rate of 30 breaths/minute and blood pressure of 100/50mmHg. The laboratory test results were significant for leukocytes of 15400/mm3, hematocrit of 24%, D-Dimer of 946.8μg/L and platelet count of 85,000/mm3. Chest X-ray showed images of bilateral pulmonary condensation. A Swan-Ganz catheter is inserted and demonstrates increased cardiac output, decreased peripheral vascular resistance (vasodilation), and normal pulmonary capillary wedge pressure (PCWP). Which of the following is the most likely diagnosis? B Infectious Disease Cardiovascular Obstetrics & Gynecology 2020-10-28T00:26:23Z 2459150.5183218 WBR0396