Lactic acidosis physical examination: Difference between revisions
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{{CMG}} {{AE}} {{Skhan}} | |||
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==Overview== | |||
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination. | There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination. | ||
* Look for signs of [[Hypovolemic shock|hypovolemic]], [[Cardiogenic Shock|cardiogenic]], [[Septic Shock|septic]] or [[toxic shock]]. | *Look for signs of [[Hypovolemic shock|hypovolemic]], [[Cardiogenic Shock|cardiogenic]], [[Septic Shock|septic]] or [[toxic shock]]. | ||
* To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, [[tachypnea]], confusion, peripheral shutdown (check capillary refill) and [[oliguria]]. | *To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, [[tachypnea]], confusion, peripheral shutdown (check capillary refill) and [[oliguria]]. | ||
* Look for evidence of a septic focus and [[hyperthermia]] | *Look for evidence of a septic focus and [[hyperthermia]] ([[hypothermia]] in advanced sepsis). | ||
* [[Kussmaul's breathing]] | *[[Kussmaul's breathing]] may occur in cases of severe acidosis being compensated by respiratory effort. | ||
{{Lactic acidosis}} | {{Lactic acidosis}} | ||
Latest revision as of 12:26, 15 December 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saud Khan M.D.
Overview
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination.
- Look for signs of hypovolemic, cardiogenic, septic or toxic shock.
- To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, tachypnea, confusion, peripheral shutdown (check capillary refill) and oliguria.
- Look for evidence of a septic focus and hyperthermia (hypothermia in advanced sepsis).
- Kussmaul's breathing may occur in cases of severe acidosis being compensated by respiratory effort.
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