Correct option is D
Answer: (d) Vascular damage
Explanation: Hypovolemic shock occurs when there is a significant loss of blood or body fluids, leading to reduced circulating volume and inadequate tissue perfusion. Vascular damage can result in substantial hemorrhage, which directly decreases blood volume and can precipitate hypovolemic shock.
· Peritonitis generally causes an inflammatory response that may lead to septic shock (a type of distributive shock) rather than primarily causing hypovolemia.
· Blood transfusion reaction may lead to various types of shock (e.g., anaphylactic or hemolytic), but it is not typically associated with a loss of circulating volume due to hemorrhage.
· Acidosis is more of a consequence of shock rather than a direct cause, as it results from the inadequate perfusion and subsequent metabolic disturbances.
Thus, the correct answer is vascular damage.
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