Shock water extremities distributive shock lol JVP sepsis anaphylaxis burns neurogenic cold extremities hi JVP cardiogenic shock bibasilar lung crackles myocardial ischema or infarction left sided valvular disease arrhythmia cardiomyopathy HOCM obstructive shock normal decreased breath sounds pulmonary embolism tension pneumothorax cardiac tamponade low JVP hypovolaemic shock rule out decompensated distributive shock haemorrhage dehydration vomiting diarrhoea interstitial fluid redistribution

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