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How do doctors assess tissue perfusion in a patient in shock?

2 doctors weighed in
Dr. Thomas Heston
Family Medicine

In brief: See below

The primary way to assess overall health (reflecting perfusion) would be to check the vital signs.
A common way to assess peripheral perfusion is to check the color of the tissue under the fingernails after squeezing. Peripheral pulses help assess tissue perfusion. Usually the shock is treated first prior to performance of a scan such as a brain perfusion scan or myocardial perfusion scan.

In brief: See below

The primary way to assess overall health (reflecting perfusion) would be to check the vital signs.
A common way to assess peripheral perfusion is to check the color of the tissue under the fingernails after squeezing. Peripheral pulses help assess tissue perfusion. Usually the shock is treated first prior to performance of a scan such as a brain perfusion scan or myocardial perfusion scan.
Dr. Thomas Heston
Dr. Thomas Heston
Thank
Dr. Barry Press
Surgery - Plastics

In brief: Many methods...

Depending on which tissue you are talking about, there are many ways.
Brain perfusion is reflected in level of consciousness. Kidney perfusion is assessed by adequacy of urine production and laboratory tests. Perfusion of the extremities can be assessed by skin color and tone as well as radiologic tests and angiography and other laboratory tests.

In brief: Many methods...

Depending on which tissue you are talking about, there are many ways.
Brain perfusion is reflected in level of consciousness. Kidney perfusion is assessed by adequacy of urine production and laboratory tests. Perfusion of the extremities can be assessed by skin color and tone as well as radiologic tests and angiography and other laboratory tests.
Dr. Barry Press
Dr. Barry Press
Thank
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