Heat stroke differential diagnosis: Difference between revisions

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Line 33: Line 33:
|-
|-
| colspan="2" align="center" style="background:#DCDCDC;"|Medications or drug use
| colspan="2" align="center" style="background:#DCDCDC;"|Medications or drug use
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Ergogenic aids, ecstasy, cocaine
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Ergogenic aid|Ergogenic aids]], [[ecstasy]], [[cocaine]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diuretics, β-blockers, antihistamines,
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Diuretics]], [[Beta blockers|β-blockers]], [[antihistamines]],
antidepressants
[[antidepressants]]
|-
|-
| colspan="2" align="center" style="background:#DCDCDC;"|Sweating
| colspan="2" align="center" style="background:#DCDCDC;"|Sweating
Line 43: Line 43:
| rowspan="7" align="center" style="background:#DCDCDC;"|Laboratory findings
| rowspan="7" align="center" style="background:#DCDCDC;"|Laboratory findings
|align="center" style="background:#DCDCDC;"|Acid-base disturbance
|align="center" style="background:#DCDCDC;"|Acid-base disturbance
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Metabolic acidosis
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Metabolic acidosis]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Mixed metabolic and respiratory acidosis
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Mixed [[Metabolic Acidosis|metabolic]] and [[respiratory acidosis]]
|-
|-
|align="center" style="background:#DCDCDC;"|Calcium
|align="center" style="background:#DCDCDC;"|[[Calcium]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
|-
|-
|align="center" style="background:#DCDCDC;"|Potassium
|align="center" style="background:#DCDCDC;"|[[Potassium]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ or ↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓ or ↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
|-
|-
|align="center" style="background:#DCDCDC;"|Phosphate
|align="center" style="background:#DCDCDC;"|[[Phosphate]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|-
|-
|align="center" style="background:#DCDCDC;"|Blood glucose
|align="center" style="background:#DCDCDC;"|[[Blood glucose]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|-
|-
|align="center" style="background:#DCDCDC;"|Creatine kinase (CK)
|align="center" style="background:#DCDCDC;"|[[Creatine kinase]] (CK)
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑↑↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑↑↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|-
|-
|align="center" style="background:#DCDCDC;"|AST, ALT
|align="center" style="background:#DCDCDC;"|[[Aspartate transaminase|AST]], [[Alanine transaminase|ALT]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑↑↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑↑↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
|-
|-
| rowspan="2" align="center" style="background:#DCDCDC;"|Complications
| rowspan="2" align="center" style="background:#DCDCDC;"|Complications
|align="center" style="background:#DCDCDC;"|Rhabdomyolysis
|align="center" style="background:#DCDCDC;"|[[Rhabdomyolysis]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Severe
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Severe
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Mild
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Mild
|-
|-
|align="center" style="background:#DCDCDC;"|Acute renal failure
|align="center" style="background:#DCDCDC;"|[[Acute renal failure]]
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Common (∼25%)
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Common (∼25%)
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Uncommon (∼5%)
|style="padding: 5px 5px; background: #F5F5F5;" align="center" |Uncommon (∼5%)

Revision as of 16:37, 24 May 2017

Heat stroke Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Heat Stroke from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X-rays

Ultrasound

CT Scan

MRI

Other Imaging Studies

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Heat stroke differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Heat stroke differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Heat stroke differential diagnosis

CDC on Heat stroke differential diagnosis

Heat stroke differential diagnosis in the news

Blogs on Heat stroke differential diagnosis

Directions to Hospitals Treating Breast cancer

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.

References

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