Heat stroke history and symptoms: Difference between revisions
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===Non-exertional or Classic Heat Stroke=== | ===Non-exertional or Classic Heat Stroke=== | ||
The history of a patient with classic heat stroke inludes: | The history of a patient with classic heat stroke inludes:<ref name="pmid12075060">{{cite journal| author=Bouchama A, Knochel JP| title=Heat stroke. | journal=N Engl J Med | year= 2002 | volume= 346 | issue= 25 | pages= 1978-88 | pmid=12075060 | doi=10.1056/NEJMra011089 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12075060 }} </ref><ref name="pmid8168025">{{cite journal| author=Brody GM| title=Hyperthermia and hypothermia in the elderly. | journal=Clin Geriatr Med | year= 1994 | volume= 10 | issue= 1 | pages= 213-29 | pmid=8168025 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8168025 }} </ref><ref name="pmid1480539">{{cite journal| author=Dann EJ, Berkman N| title=Chronic idiopathic anhydrosis--a rare cause of heat stroke. | journal=Postgrad Med J | year= 1992 | volume= 68 | issue= 803 | pages= 750-2 | pmid=1480539 | doi= | pmc=2399451 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1480539 }} </ref><ref name="pmid15728404">{{cite journal| author=Flynn A, McGreevy C, Mulkerrin EC| title=Why do older patients die in a heatwave? | journal=QJM | year= 2005 | volume= 98 | issue= 3 | pages= 227-9 | pmid=15728404 | doi=10.1093/qjmed/hci025 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15728404 }} </ref> | ||
*Old age | *Old age | ||
*Chronic condition effecting thermo-regulation | *Chronic condition effecting thermo-regulation |
Revision as of 17:37, 24 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
High body temperature (hyperthermia) and dysfunction of the CNS must coexist for the confirmation of the diagnosis of heat stroke. A history of an existing disease, outdoor activity, exposure to heat, extensive exertion and improper hydration may be observed.[1][2][3]
History
A detailed history is necessary for the prompt diagnosis of heat stroke. The patient with heat stroke may hav ethe following salient features in the history:[3][4][5]
Non-exertional or Classic Heat Stroke
The history of a patient with classic heat stroke inludes:[6][7][8][9]
- Old age
- Chronic condition effecting thermo-regulation
- Cardiovascular illness
- Alcohol use
- Coacine use
8Prescription drugs
- Beta blockers
- Diuretics
- Anticholinergics
- Anhidrosis
- Dysability
- Obesity
- Job in hot surroundings
- Cooking
- Iron molding
- Thermal plants
Exertional Heat Stroke
- Young age
Symptoms
References
- ↑ Simon HB (1994). "Hyperthermia and heatstroke". Hosp Pract (Off Ed). 29 (8): 65–8, 73, 78–80. PMID 7914522.
- ↑ Bricknell MC (1994). "Heat illness in Cyprus". J R Army Med Corps. 140 (2): 67–9. PMID 8907832.
- ↑ 3.0 3.1 Leon LR, Bouchama A (2015). "Heat stroke". Compr Physiol. 5 (2): 611–47. doi:10.1002/cphy.c140017. PMID 25880507.
- ↑ Bouchama A, Cafege A, Devol EB, Labdi O, el-Assil K, Seraj M (1991). "Ineffectiveness of dantrolene sodium in the treatment of heatstroke". Crit Care Med. 19 (2): 176–80. PMID 1989755.
- ↑ Klenk J, Becker C, Rapp K (2010). "Heat-related mortality in residents of nursing homes". Age Ageing. 39 (2): 245–52. doi:10.1093/ageing/afp248. PMID 20093248. Review in: Evid Based Nurs. 2010 Jul;13(3):90-1
- ↑ Bouchama A, Knochel JP (2002). "Heat stroke". N Engl J Med. 346 (25): 1978–88. doi:10.1056/NEJMra011089. PMID 12075060.
- ↑ Brody GM (1994). "Hyperthermia and hypothermia in the elderly". Clin Geriatr Med. 10 (1): 213–29. PMID 8168025.
- ↑ Dann EJ, Berkman N (1992). "Chronic idiopathic anhydrosis--a rare cause of heat stroke". Postgrad Med J. 68 (803): 750–2. PMC 2399451. PMID 1480539.
- ↑ Flynn A, McGreevy C, Mulkerrin EC (2005). "Why do older patients die in a heatwave?". QJM. 98 (3): 227–9. doi:10.1093/qjmed/hci025. PMID 15728404.