Abdomen

• Assess for intra-abdominal fluid to rule-out an intra-abdominal source of hypotension.

• Examine the gallbladder- gallstones, wall thickening (>3 mm) and pericholecystic fluid are consistent with cholecystitis

• Examine the kidneys and bladder- overt hydronephrosis concerning for mechanical obstruction. Distended bladder despite foley suggests obstructed foley.

Vascular

• Presence of DVT- patent veins are fully collapsible with light ultrasound compression- pressure has to be lower than the pressure needed to collapse the artery.

• Vascular access for arterial and central line placement.