Heat stroke differential diagnosis: Difference between revisions
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|Calcium | |Calcium | ||
| | |↓ | ||
| | |Nl | ||
|- | |- | ||
|Potassium | |Potassium | ||
| | |↓ or ↑ | ||
| | |Nl | ||
|- | |- | ||
|Phosphate | |Phosphate | ||
| | |↑ | ||
| | |↓ | ||
|- | |- | ||
|Blood glucose | |Blood glucose | ||
| | |↓ | ||
| | |↑ | ||
|- | |- | ||
| | |Creatine kinase (CK) | ||
| | |↑↑↑ | ||
| | |↑ | ||
|- | |- | ||
| | |AST, ALT | ||
| | |↑↑↑ | ||
| | |↑ | ||
|- | |||
| rowspan="2" |Complications | |||
|Rhabdomyolysis | |||
|Severe | |||
|Mild | |||
|- | |||
|Acute renal failure | |||
|Common (∼25%) | |||
|Uncommon (∼5%) | |||
|} | |} | ||
<br>Heat stroke must be differentiated from other conditions that may cause hyperthermia. | <br>Heat stroke must be differentiated from other conditions that may cause hyperthermia. | ||
Revision as of 16:30, 24 May 2017
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Heat stroke Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Heat stroke differential diagnosis On the Web |
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American Roentgen Ray Society Images of Heat stroke differential diagnosis |
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Risk calculators and risk factors for Heat stroke differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Differentiating Heat stroke from other Diseases
Differentiation between 2 types of heat stroke (Classic vs Exertional) is based on history, clinical findings, and laboratory findings. The following table summarizes their differentiating feature.
| Characteristic | Exertional Heat Stroke | Classic Heat Stroke | |
|---|---|---|---|
| Age | Adults | Early childhood or elderly | |
| Health status | Healthy and athlete | Ill and debilitate | |
| Weather condition | Temperate or hot | Heat wave | |
| Activity | Sustained or heavy exertion | Sedentary | |
| Medications or drug use | Ergogenic aids, ecstasy, cocaine | Diuretics, β-blockers, antihistamines,
antidepressants | |
| Sweating | Present | Abscent | |
| Laboratory findings | Acid-base disturbance | Metabolic acidosis | Mixed metabolic and respiratory acidosis |
| Calcium | ↓ | Nl | |
| Potassium | ↓ or ↑ | Nl | |
| Phosphate | ↑ | ↓ | |
| Blood glucose | ↓ | ↑ | |
| Creatine kinase (CK) | ↑↑↑ | ↑ | |
| AST, ALT | ↑↑↑ | ↑ | |
| Complications | Rhabdomyolysis | Severe | Mild |
| Acute renal failure | Common (∼25%) | Uncommon (∼5%) | |
Heat stroke must be differentiated from other conditions that may cause hyperthermia.