Infarction & Shock

1.Define shock. Mention four types of shock. Describe the morphological changes in various organs in shock. Add a note on pathogenesis of septic shock

2.Define shock. Classify shock. Discuss the etiopathogenesis of septic shock. Discuss the different stages of shock

3.Define infarction. Discuss the etiopathogenesis, morphology and complications of myocardial infarction

4.A 50 year old person was admitted to the hospital with complaints of intermittent fever for the past two weeks. He underwent a surgical procedure. The surgical wound has not healed. On examination Febrile, Pulse rate – 102/mt, dyspnoea present, drowsy, urine output less than 100ml/ 24 hours. Blood sample sent for culture and sensitivity. CBC – Hemoglobin 8g/dl, total WBC count -18000/cmm.

• a) What is your provisional diagnosis
• b) Describe briefly the etiopathogenesis of this condition
• c) What are the various organ changes seen in this condition
• d) Enlist the stages of this condition

5.Define shock. Describe the various types of shock with specific reference to the etiology. Discuss the pathogenesis of any one type of shock

1.18 year old male was brought to the emergency in an unconscious state following a road traffic accident. On examination, the pulse was weak, and skin cold clammy. Blood pressure 90/50 mm of Hg. X-ray of the leg revealed a fracture of the shaft of right femur .

• a) What is the most probable diagnosis
• b) Discuss the pathogenesis of this condition

2.A 58-year-old female was brought to the emergency room unconscious. On examination her pulse was weak and rapid and blood pressure was very low. Her skin was warm and flushed. On admission, the blood culture done revealed growth of Gram-positive bacteria.

• a) What is the possible diagnosis
• b) Describe the pathogenesis of this condition
• c) Describe the stages of this disorder

3.50 year old male presented with altered sensorium, cyanosis, oliguria, weak rapid pulse, tachypnea and cool clammy extremities. Answer the following:  What is the provisional diagnosis.  Discuss the etiopathogenesis  Mention the organs involved and describe the pathology in the lung

1.Factors influencing development of an infarct

1.Define shock. What are the stages Answer in single sentence: (4x½=2)

2.Types of infarcts

3.What are heart failure cells