Abstract

The presentation of cardiogenic shock (CS) is usually straightforward, and includes hypotension, absence of hypovolemia, and clinical signs of poor tissue perfusion such as oliguria, cyanosis, cool extremities and altered mentation.[1] The most common etiology of CS is acute myocardial infarction.[2] Here, we report a case of a 42-year-old male who presented with right flank pain, nausea and vomiting initially thought to be nephrolithiasis, which he had a history of but was ultimately diagnosed with CS due to a type II myocardial infarction. This case illustrates the importance of having a broad differential diagnosis especially when a patient's vital signs take a drastic turn since this patient initially resembled someone with nephrolithiasis.

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