University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

A Case of Undifferentiated Shock and POCUS Use


Critical Care Medicine


Dr June Sullivan


Undifferentiated hypotension and shock can have potentially devastating consequences in patient mortality. This article describes a patient who presented with undifferentiated shock to the emergency department, initially thought to be septic in etiology given leukocytosis on laboratory evaluation. Using bedside point of care ultrasound (POCUS), the admitting provider could discern the etiology of shock was cardiogenic given poor bi-ventricular output on cardiac echo, altering the patient's treatment course and initiating emergent cardiology service consultation and intervention. This difficult presentation brings to the forefront the role of POCUS in determining the etiology of undifferentiated shock and its usefulness in modern medicine in those presenting with hypotension.

This document is currently not available here.


Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.

Off-campus users can also use 'Off-campus Download' button above for access.