Myxedema coma physical examination: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
The physical examination findings of myxedema coma will reveal the characteristic signs of hypothyroidism, and not being able to obtain patient's history, it is often very useful to search for of other signs that guide the diagnosis of myxedema coma such as a cervical scar (history of thyroid surgery), vitiligo, hyperpigmentation, ophthalmopathy. | The physical examination findings of myxedema coma will reveal the characteristic signs of [[hypothyroidism]], and not being able to obtain patient's history, it is often very useful to search for of other signs that guide the diagnosis of myxedema coma such as a [[cervical]] scar (history of thyroid surgery), [[vitiligo]], [[hyperpigmentation]], [[Ophthalmic pathology|ophthalmopathy]]. | ||
==Physical examination== | ==Physical examination== | ||
===General appearance=== | ===General appearance=== | ||
*Altered mentation<ref name="pmid17127141">{{cite journal |vauthors=Wartofsky L |title=Myxedema coma |journal=Endocrinol. Metab. Clin. North Am. |volume=35 |issue=4 |pages=687–98, vii–viii |year=2006 |pmid=17127141 |doi=10.1016/j.ecl.2006.09.003 |url=}}</ref><ref name="pmid17712058">{{cite journal |vauthors=Kwaku MP, Burman KD |title=Myxedema coma |journal=J Intensive Care Med |volume=22 |issue=4 |pages=224–31 |year=2007 |pmid=17712058 |doi=10.1177/0885066607301361 |url=}}</ref><ref name="pmid16776161">{{cite journal |vauthors=Tsuboi K, Ueshiba H |title=[Myxedema coma] |language=Japanese |journal=Nippon Rinsho |volume=Suppl 1 |issue= |pages=344–7 |year=2006 |pmid=16776161 |doi= |url=}}</ref> | *[[Altered mentation]]<ref name="pmid17127141">{{cite journal |vauthors=Wartofsky L |title=Myxedema coma |journal=Endocrinol. Metab. Clin. North Am. |volume=35 |issue=4 |pages=687–98, vii–viii |year=2006 |pmid=17127141 |doi=10.1016/j.ecl.2006.09.003 |url=}}</ref><ref name="pmid17712058">{{cite journal |vauthors=Kwaku MP, Burman KD |title=Myxedema coma |journal=J Intensive Care Med |volume=22 |issue=4 |pages=224–31 |year=2007 |pmid=17712058 |doi=10.1177/0885066607301361 |url=}}</ref><ref name="pmid16776161">{{cite journal |vauthors=Tsuboi K, Ueshiba H |title=[Myxedema coma] |language=Japanese |journal=Nippon Rinsho |volume=Suppl 1 |issue= |pages=344–7 |year=2006 |pmid=16776161 |doi= |url=}}</ref> | ||
===Vitals=== | ===Vitals=== | ||
*Hyperventilation | *[[Hyperventilation]] | ||
*Hypothermia | *[[Hypothermia]] | ||
* | *[[Hypotension]] | ||
*Bradycardia | **Late onset | ||
*[[Bradycardia]] | |||
===Skin=== | ===Skin=== | ||
*Dry | *Dry | ||
*Alopecia | *Cool | ||
*Coarse, sparse hair | *Doughy [[skin]] | ||
*[[Alopecia]] | |||
*Coarse, sparse [[hair]] | |||
===Gastrointestinal=== | ===Gastrointestinal=== | ||
*Decreased Bowel sounds | *Decreased [[Bowel sounds]] | ||
*Abdominal distension | *[[Abdominal distension]] | ||
*Fecal impaction | *[[Fecal impaction]] | ||
===HEENT=== | ===HEENT=== | ||
*Myxedematous face | *[[Myxedematous]] face | ||
*Macroglossia | *[[Macroglossia]] | ||
*Ptosis | *[[Ptosis]] | ||
*Periorbital edema | *[[Periorbital edema]] | ||
===Extremities=== | ===Extremities=== | ||
Nonpitting edema | * Nonpitting [[edema]] | ||
===Neurology=== | ===Neurology=== | ||
*Decreased reflexes | *Decreased [[reflexes]] | ||
*LOC | *[[LOC]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 00:48, 26 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The physical examination findings of myxedema coma will reveal the characteristic signs of hypothyroidism, and not being able to obtain patient's history, it is often very useful to search for of other signs that guide the diagnosis of myxedema coma such as a cervical scar (history of thyroid surgery), vitiligo, hyperpigmentation, ophthalmopathy.
Physical examination
General appearance
Vitals
- Hyperventilation
- Hypothermia
- Hypotension
- Late onset
- Bradycardia
Skin
Gastrointestinal
- Decreased Bowel sounds
- Abdominal distension
- Fecal impaction
HEENT
Extremities
- Nonpitting edema
Neurology
References
- ↑ Wartofsky L (2006). "Myxedema coma". Endocrinol. Metab. Clin. North Am. 35 (4): 687–98, vii–viii. doi:10.1016/j.ecl.2006.09.003. PMID 17127141.
- ↑ Kwaku MP, Burman KD (2007). "Myxedema coma". J Intensive Care Med. 22 (4): 224–31. doi:10.1177/0885066607301361. PMID 17712058.
- ↑ Tsuboi K, Ueshiba H (2006). "[Myxedema coma]". Nippon Rinsho (in Japanese). Suppl 1: 344–7. PMID 16776161.