1) Patients with septic shock are normovolemic despite increased cardiac output and low peripheral resistance due to a hyperdynamic state induced by sepsis. A low systemic vascular resistance is useful for diagnosis. 2) Superficial spreading melanoma is more common on the trunk/arms/thighs in white races, starting as an asymmetric macule with irregular borders and color variation that penetrates quickly. Resection margins are 1cm for lesions <1mm, 2cm for 1-4mm, and 3cm for >4mm. 3) For cardiac tamponade diagnosis, listening to breath sounds is most useful to differentiate from tension pneumothorax, which presents with absent breath sounds over the affected hemith

1. Q: 18 - 21

6. TNM Classification