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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • features of end-organ under-perfusion e.g. pallor, cold peripheries, oliguria (urine output < 30ml/hour), faints, confusion/agitation
  • tachycardia
  • hypotension:
    • systolic pressure may drop below 90 mmHg
    • blood pressure may remain normal in a fit, young person; decompensation may be delayed until the pre-terminal phase

In acute clinical setting assessment of the patient will include:

  • skin colour - pallor, cyanosis, jaundice
  • pulse rate and volume - carotid pulse
  • blood pressure
  • heart and chest sounds
  • PR, if indicated by e.g. a history of melaena

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