Altitude sickness physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with altitude sickness is usually remarkable for [[headache]], [[nausea]], [[vomiting]] and [[lightheadedness]]. | |||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with altitude sickness is usually remarkable for [[headache]], [[nausea]], [[vomiting]] and [[lightheadedness]].<ref name="pmid23908794">{{cite journal |vauthors=Taylor AT |title=High-altitude illnesses: physiology, risk factors, prevention, and treatment |journal=Rambam Maimonides Med J |volume=2 |issue=1 |pages=e0022 |date=January 2011 |pmid=23908794 |pmc=3678789 |doi=10.5041/RMMJ.10022 |url=}}</ref><ref name="pmid21718562">{{cite journal |vauthors=Murdoch D |title=Altitude sickness |journal=BMJ Clin Evid |volume=2010 |issue= |pages= |date=March 2010 |pmid=21718562 |pmc=2907615 |doi= |url=}}</ref><ref name="pmid17099095">{{cite journal |vauthors=Clarke C |title=Acute mountain sickness: medical problems associated with acute and subacute exposure to hypobaric hypoxia |journal=Postgrad Med J |volume=82 |issue=973 |pages=748–53 |date=November 2006 |pmid=17099095 |pmc=2660503 |doi=10.1136/pgmj.2006.047662 |url=}}</ref><ref name="pmid22703629">{{cite journal |vauthors=Carod-Artal FJ |title=High-altitude headache and acute mountain sickness |journal=Neurologia |volume=29 |issue=9 |pages=533–40 |date=2014 |pmid=22703629 |doi=10.1016/j.nrl.2012.04.015 |url=}}</ref> | |||
== | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with altitude sickness usually appear cyanotic. | ||
===Vital Signs=== | ===Vital Signs=== | ||
| Line 37: | Line 28: | ||
===Lungs=== | ===Lungs=== | ||
*Crackles or wheezing may be present | *[[Crackles]] or [[wheezing]] may be present | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with altitude sickness is usually normal. | * [[Cardiovascular]] examination of patients with altitude sickness is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
*Abdominal examination of patients with altitude sickness is usually normal. | *[[Abdominal]] examination of patients with altitude sickness is usually normal. | ||
===Back=== | ===Back=== | ||
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===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with altitude sickness is usually normal. | * [[Genitourinary]] examination of patients with altitude sickness is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Latest revision as of 14:44, 19 March 2018
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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.[1][2][3][4]
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
Neck
- Neck examination of patients with altitude sickness is usually normal.
Lungs
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
References
- ↑ Taylor AT (January 2011). "High-altitude illnesses: physiology, risk factors, prevention, and treatment". Rambam Maimonides Med J. 2 (1): e0022. doi:10.5041/RMMJ.10022. PMC 3678789. PMID 23908794.
- ↑ Murdoch D (March 2010). "Altitude sickness". BMJ Clin Evid. 2010. PMC 2907615. PMID 21718562.
- ↑ Clarke C (November 2006). "Acute mountain sickness: medical problems associated with acute and subacute exposure to hypobaric hypoxia". Postgrad Med J. 82 (973): 748–53. doi:10.1136/pgmj.2006.047662. PMC 2660503. PMID 17099095.
- ↑ Carod-Artal FJ (2014). "High-altitude headache and acute mountain sickness". Neurologia. 29 (9): 533–40. doi:10.1016/j.nrl.2012.04.015. PMID 22703629.