Not sure about this, as shock doesnât have to necessarily be systemic right? (i.e. shock liver)
Per my understanding, I believe that shock is generally systemic and ischemia is generally localized. And that both could lead to âinadequate organ perfusion and delivery of nutrients necessary for normal tissue and cellular functionâ as denoted in the card, which leads to the resulting ambiguity of the entailing cloze.
As I understand it âshock liverâ is used to denote the (local) effect of (global) shock, specifically on the liver, though is caused most directly by the resulting ischemia. So âshock liverâ refers to the effect of a specific local effect of an organ (in this case the liver) from a systemic event (shock). The term âischemic hepatitisâ is sometimes used more-or-less interchangeably, from what I gather
By that metric, you might also have âshock kidneyâ or, I donât know, âshock mesenteryâ which are local zoom-in reference frames for a systemic root pathology.
All-in-all not a major issue, but thought Iâd raise it since the structural ambiguity of the cardâs phrasing stood out to my mind. 