Bounding Peripheral Pulses in Medicine / Internal Medicine — 65yo Man | Critical Care | SMLE Q#1084
SMLE Question #1084
Medicine / Internal Medicine
Critical Care
Last updated: February 2026
A 65-year-old man in the ICU has refractory hypotension requiring norepinephrine despite adequate fluid resuscitation. He has warm, flushed skin with bounding peripheral pulses and brisk capillary refill. Urine output has been negligible for several hours. Cardiopulmonary examination shows no findings suggestive of cardiac tamponade, tension pneumothorax, massive pulmonary embolism, or acute heart failure. What is the most likely type of shock?
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