Heat stroke physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
A detailed physical examination should be performed in case of a suspicion of heat stroke. The physical examination of a patient with heat stroke may yield a disoriented, | A detailed physical examination should be performed in case of a suspicion of heat stroke. The physical examination of a patient with heat stroke may yield a [[Disorientation|disoriented]], comatozed individual with [[fever]], [[hypotension]], [[skin rash]], skin burn, [[tachycardia]], [[muscle spasms]] or pain and [[hyperventilation]].<ref name="pmid1559470">{{cite journal| author=Tek D, Olshaker JS| title=Heat illness. | journal=Emerg Med Clin North Am | year= 1992 | volume= 10 | issue= 2 | pages= 299-310 | pmid=1559470 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1559470 }} </ref> | ||
==Physical Examination== | ==Physical Examination== | ||
The physical examination of a patient with heat stroke may yield the following findings:<ref name="pmid25880507">{{cite journal| author=Leon LR, Bouchama A| title=Heat stroke. | journal=Compr Physiol | year= 2015 | volume= 5 | issue= 2 | pages= 611-47 | pmid=25880507 | doi=10.1002/cphy.c140017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25880507 }} </ref><ref name=" | The physical examination of a patient with heat stroke may yield the following findings:<ref name="pmid1559470">{{cite journal| author=Tek D, Olshaker JS| title=Heat illness. | journal=Emerg Med Clin North Am | year= 1992 | volume= 10 | issue= 2 | pages= 299-310 | pmid=1559470 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1559470 }} </ref><ref name="pmid25880507">{{cite journal| author=Leon LR, Bouchama A| title=Heat stroke. | journal=Compr Physiol | year= 2015 | volume= 5 | issue= 2 | pages= 611-47 | pmid=25880507 | doi=10.1002/cphy.c140017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25880507 }} </ref><ref name="pmid22165656">{{cite journal| author=Druyan A, Amit D, Janovich R, Ran Y, Heled Y, Yuval H| title=Misdiagnosis of exertional heat stroke and improper medical treatment. | journal=Mil Med | year= 2011 | volume= 176 | issue= 11 | pages= 1278-80 | pmid=22165656 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22165656 }} </ref> | ||
===General Appearance=== | ===General Appearance=== | ||
*Disoriented | *[[Disorientation|Disoriented]] | ||
*Tired appearance | *Tired appearance | ||
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*[[Fever]] (40-47 C) | *[[Fever]] (40-47 C) | ||
*[[Hypotension]] | *[[Hypotension]] | ||
===Cardiovascular System=== | ===Cardiovascular System=== | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*Widened pulse pressure | *[[Widened pulse pressure]] | ||
===Central Nervous System== | ===Central Nervous System=== | ||
*Impaired judgment | *Impaired judgment | ||
*[[Delirium]] | *[[Delirium]] | ||
*Coma | *Coma | ||
*[[Seizures]] | *[[Seizures]] | ||
*Poor [[Motor coordination|coordination]] | |||
===Musculoskeletal System=== | ===Musculoskeletal System=== | ||
*Muscle spasms | *[[Muscle spasms]] | ||
*Muscle pain | *[[Muscle pain]] | ||
===Respiratory System=== | ===Respiratory System=== | ||
*Hyperventilation | *[[Hyperventilation]] | ||
===Dermatological=== | ===Dermatological=== | ||
* | *Decreased skin turgor | ||
* | *[[Skin rash]] | ||
*Sun burn | *Sun burn | ||
==References== | ==References== | ||
Latest revision as of 19:33, 30 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
A detailed physical examination should be performed in case of a suspicion of heat stroke. The physical examination of a patient with heat stroke may yield a disoriented, comatozed individual with fever, hypotension, skin rash, skin burn, tachycardia, muscle spasms or pain and hyperventilation.[1]
Physical Examination
The physical examination of a patient with heat stroke may yield the following findings:[1][2][3]
General Appearance
- Disoriented
- Tired appearance
Vital Signs
- Fever (40-47 C)
- Hypotension
Cardiovascular System
Central Nervous System
- Impaired judgment
- Delirium
- Coma
- Seizures
- Poor coordination
Musculoskeletal System
Respiratory System
Dermatological
- Decreased skin turgor
- Skin rash
- Sun burn
References
- ↑ 1.0 1.1 Tek D, Olshaker JS (1992). "Heat illness". Emerg Med Clin North Am. 10 (2): 299–310. PMID 1559470.
- ↑ Leon LR, Bouchama A (2015). "Heat stroke". Compr Physiol. 5 (2): 611–47. doi:10.1002/cphy.c140017. PMID 25880507.
- ↑ Druyan A, Amit D, Janovich R, Ran Y, Heled Y, Yuval H (2011). "Misdiagnosis of exertional heat stroke and improper medical treatment". Mil Med. 176 (11): 1278–80. PMID 22165656.