MD / MS / DNB · MD Emergency Medicine

Shock syndromes

Shock is inadequate tissue perfusion relative to metabolic demand. Categories help organize investigation, but multiple mechanisms can occur simultaneously in one critically ill patient.

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Shock syndromes — specialty learning map

Original conceptual SVG · scalable
ORIGINAL SPECIALTY CONCEPT MAP · NOT A DIAGNOSTIC IMAGEHypovolemicinsufficient circulating volumeCardiogenicimpaired pump functionDistributivemaldistributed circulationObstructivemechanical limitationShock syndromesFOUR CONNECTED DOMAINS

Original overview diagram showing four related domains. This is not a literal anatomy drawing, histologic image or clinical decision rule.

Concept 01

Hypovolemic

Loss of blood or fluid can reduce venous return, stroke volume and tissue perfusion.

Concept 02

Cardiogenic

Cardiac contractile or rhythm problems can restrict effective forward flow despite adequate or elevated filling pressures.

Concept 03

Distributive

Severe vasodilation and altered microcirculatory flow, as in some septic states, may impair effective tissue perfusion.

Concept 04

Obstructive

Conditions limiting ventricular filling or ejection may reduce output despite functioning myocardium.

Education / safety note: Shock requires immediate professional assessment; vital signs may be deceptively normal during early compensation.

Reference and next reading

Explore the original curriculum and publisher-hosted resources for full-depth reading; this note is an original schematic introduction, not an exhaustive chapter.

Official / publisher source: NBEMS DNB broad-specialty curricula ↗Official / publisher source: NCBI Bookshelf ↗Official / publisher source: PubMed ↗