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Hypotension

  • Ddx

    • hypovolemia
      • dehydration
      • hemorrhage
      • n/v/d
    • 3rd spacing
      • ascites (distension, dullness)
      • pleural effusion
      • anaphylaxis (edema, urticaria)
    • cardio
      • tamponade (JVD)
      • MI (elderly)
      • CHF (peripheral edema)
      • arrhythmia
      • rupture of ventricular wall, papillary muscle, chordae
      • aortic stenosis (sys murmur radiate to carotids)
    • pulm
      • PE (stasis, recent surg)
      • tension pneumo (JVD, decr breath sounds)
    • GI
      • diarrhea
      • vomiting
    • neuro
      • spinal cord lesion
      • vasovagal
    • endo
      • adrenal insufficiency
      • Addison's (hyperpigmentation)
      • hypothyroidism [TSH]
      • diabetes insipidus [UA]
    • infectious (fever)
      • toxic shock (tampons)
      • sepsis (fever)
    • drugs
      • antihypertensives
      • nitrates
      • TCAs
  • Labs

    • CBC, chem
    • blood culture if sepsis
    • EKG, enzymes
    • CXR
    • CT if PE
    • echo

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.