Altitude sickness physical examination

Altitude sickness Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Physical examination of patients with altitude sickness is usually remarkable for headache, nausea, vomiting and lightheadedness.

Physical Examination

• Physical examination of patients with altitude sickness is usually remarkable for headache, nausea, vomiting and lightheadedness.

Appearance of the Patient

• Patients with altitude sickness usually appear cyanotic.

Vital Signs

• Hypothermia may be present
• Tachycardia
• Tachypnea
• High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure

Skin

• Pale or bluish appearance

HEENT

• Visual impairment

Neck

• Neck examination of patients with altitude sickness is usually normal.

Lungs

• Crackles or wheezing may be present

Heart

• Cardiovascular examination of patients with altitude sickness is usually normal.

Abdomen

• Abdominal examination of patients with altitude sickness is usually normal.

Back

• Back examination of patients with altitude sickness is usually normal.

Genitourinary

• Genitourinary examination of patients with altitude sickness is usually normal.

Neuromuscular

• Altered mental status may be present
• Loss of coordination

Extremities

• Cyanosis may be present