Sepsis history and symptoms: Difference between revisions
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{{SK}} sepsis syndrome; septic shock; septicemia | {{SK}} sepsis syndrome; septic shock; septicemia | ||
==Overview== | |||
Symptoms of sepsis are often related to the underlying infectious process. When the infection crosses into the bloodstream the resulting symptoms of sepsis occur fever, chills, and rigors, confusion, anxiety, difficulty breathing, fatigue and malaise, nausea and vomiting.<ref name="pmid17962288">{{cite journal |vauthors=Lever A, Mackenzie I |title=Sepsis: definition, epidemiology, and diagnosis |journal=BMJ |volume=335 |issue=7625 |pages=879–83 |year=2007 |pmid=17962288 |pmc=2043413 |doi=10.1136/bmj.39346.495880.AE |url=}}</ref><ref name="Juneja2012">{{cite journal|last1=Juneja|first1=Deven|title=Severe sepsis and septic shock in the elderly: An overview|journal=World Journal of Critical Care Medicine|volume=1|issue=1|year=2012|pages=23|issn=2220-3141|doi=10.5492/wjccm.v1.i1.23}}</ref><ref name="pmid23983879">{{cite journal |vauthors=Karnatovskaia LV, Festic E |title=Sepsis: a review for the neurohospitalist |journal=Neurohospitalist |volume=2 |issue=4 |pages=144–53 |year=2012 |pmid=23983879 |pmc=3726110 |doi=10.1177/1941874412453338 |url=}}</ref> | |||
==History and Symptoms== | ==History and Symptoms== | ||
[[Symptoms]] of sepsis are often related to the underlying [[infectious]] process. When the [[infection]] crosses into the [[bloodstream]] the resulting symptoms of sepsis occur:<ref name="pmid17962288">{{cite journal |vauthors=Lever A, Mackenzie I |title=Sepsis: definition, epidemiology, and diagnosis |journal=BMJ |volume=335 |issue=7625 |pages=879–83 |year=2007 |pmid=17962288 |pmc=2043413 |doi=10.1136/bmj.39346.495880.AE |url=}}</ref><ref name="Juneja2012">{{cite journal|last1=Juneja|first1=Deven|title=Severe sepsis and septic shock in the elderly: An overview|journal=World Journal of Critical Care Medicine|volume=1|issue=1|year=2012|pages=23|issn=2220-3141|doi=10.5492/wjccm.v1.i1.23}}</ref><ref name="pmid23983879">{{cite journal |vauthors=Karnatovskaia LV, Festic E |title=Sepsis: a review for the neurohospitalist |journal=Neurohospitalist |volume=2 |issue=4 |pages=144–53 |year=2012 |pmid=23983879 |pmc=3726110 |doi=10.1177/1941874412453338 |url=}}</ref> | |||
[[Symptoms]] of sepsis are often related to the underlying [[infectious]] process. When the [[infection]] crosses into the [[bloodstream]] the resulting symptoms of sepsis occur: | |||
*[[Fever]] | *[[Fever]] | ||
*A [[capillary leak syndrome]] can develop with severe [[swelling]], [[edema]], and third spacing of fluids. | *A [[capillary leak syndrome]] can develop with severe [[swelling]], [[edema]], and third spacing of fluids. | ||
*General [[symptoms]] can include flu like symptoms as well as shaking chills or [[rigors]]. | *General [[symptoms]] can include flu like symptoms as well as shaking chills or [[rigors]]. | ||
*If the [[respiratory system]] is the primary source for sepsis then [[sore throat]], productive [[cough]], and [[pleuritic chest pain]] may be present. | *If the [[respiratory system]] is the primary source for sepsis then [[sore throat]], productive [[cough]], and [[pleuritic chest pain]] may be present. | ||
Symptoms due to the focal involvement of organs by the bacteria can give clues to the etiology of sepsis. Such symptoms include the following: | |||
{| class="wikitable" | |||
!Organ system | |||
!Symptoms | |||
|- | |||
|Head and Neck | |||
| | |||
* [[Headache]] | |||
* [[Neck stiffness]] | |||
* [[Altered mental status]] | |||
* [[Otalgia|Earache]] | |||
* [[Sore throat]] | |||
* Sinus pain or tenderness | |||
* Cervical or submandibular lymphadenopathy | |||
|- | |||
|Pulmonary | |||
| | |||
* Productive [[cough]] | |||
* [[Pleuritic chest pain]] | |||
* [[Dyspnea]] | |||
* Dullness on percussion | |||
* Bronchial breath sounds with localized rales or any evidence of consolidation | |||
|- | |||
|Cardiac | |||
| | |||
* Onset of new murmur | |||
* H/O of IV drug use | |||
|- | |||
|Abdominal and gastrointestinal | |||
| | |||
* [[Diarrhea]] | |||
* Abdominal pain and distention | |||
* Guarding or rebound tenderness | |||
* Rectal tenderness or swelling | |||
|- | |||
|Pelvic and genitourinary | |||
| | |||
* [[Flank pain]] | |||
* Adnexal tenderness or masses | |||
* [[Vaginal discharge|Vaginal]] or [[urethral discharge]] | |||
* [[Dysuria]], frequency, and [[Urinary urgency|urgency]] | |||
|- | |||
|Musculoskeletal | |||
| | |||
* Localized limb pain or tenderness | |||
* Focal [[erythema]], edema | |||
* Swollen joint crepitus in necrotizing infections | |||
* Joint effusions | |||
|- | |||
|Skin | |||
| | |||
* [[Petechiae]] | |||
* [[Purpura]] | |||
* [[Erythema]], [[ulceration]], bullous formation, and fluctuance | |||
|} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category:Causes of death]] | [[Category:Causes of death]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 00:08, 30 July 2020
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Resident Survival Guide |
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Sepsis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Sepsis history and symptoms On the Web |
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American Roentgen Ray Society Images of Sepsis history and symptoms |
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Risk calculators and risk factors for Sepsis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]
Synonyms and keywords: sepsis syndrome; septic shock; septicemia
Overview
Symptoms of sepsis are often related to the underlying infectious process. When the infection crosses into the bloodstream the resulting symptoms of sepsis occur fever, chills, and rigors, confusion, anxiety, difficulty breathing, fatigue and malaise, nausea and vomiting.[1][2][3]
History and Symptoms
Symptoms of sepsis are often related to the underlying infectious process. When the infection crosses into the bloodstream the resulting symptoms of sepsis occur:[1][2][3]
- Fever
- A capillary leak syndrome can develop with severe swelling, edema, and third spacing of fluids.
- General symptoms can include flu like symptoms as well as shaking chills or rigors.
- If the respiratory system is the primary source for sepsis then sore throat, productive cough, and pleuritic chest pain may be present.
Symptoms due to the focal involvement of organs by the bacteria can give clues to the etiology of sepsis. Such symptoms include the following:
| Organ system | Symptoms |
|---|---|
| Head and Neck |
|
| Pulmonary |
|
| Cardiac |
|
| Abdominal and gastrointestinal |
|
| Pelvic and genitourinary |
|
| Musculoskeletal |
|
| Skin |
|
References
- ↑ 1.0 1.1 Lever A, Mackenzie I (2007). "Sepsis: definition, epidemiology, and diagnosis". BMJ. 335 (7625): 879–83. doi:10.1136/bmj.39346.495880.AE. PMC 2043413. PMID 17962288.
- ↑ 2.0 2.1 Juneja, Deven (2012). "Severe sepsis and septic shock in the elderly: An overview". World Journal of Critical Care Medicine. 1 (1): 23. doi:10.5492/wjccm.v1.i1.23. ISSN 2220-3141.
- ↑ 3.0 3.1 Karnatovskaia LV, Festic E (2012). "Sepsis: a review for the neurohospitalist". Neurohospitalist. 2 (4): 144–53. doi:10.1177/1941874412453338. PMC 3726110. PMID 23983879.