Hyperkalemia physical examination: Difference between revisions
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In patients with [[hyperkalemia]], physical examination may vary from normal to [[bradycardia]] ([[heart block]]), [[tachypnea]] due to respiratory muscle weakness and absent [[tendon reflexes]]. | In patients with [[hyperkalemia]], physical examination may vary from normal to [[bradycardia]] ([[heart block]]), [[tachypnea]] due to respiratory muscle weakness and absent [[tendon reflexes]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Ealuation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia. | |||
===Vitals=== | ===Vitals=== | ||
* [[Bradycardia]] (heart block) | * [[Bradycardia]] (heart block) | ||
* [[Tachypnea]] (respiratory muscle weakness) | * [[Tachypnea]] (respiratory muscle weakness) | ||
===Lungs=== | ===Lungs=== | ||
*Decrease chest expansion (respiratory muscle weakness) | |||
*Normal breathe sounds | *Normal breathe sounds | ||
*Normal tactile fremitus | |||
===Cardiac=== | ===Cardiac=== | ||
*Normal S1 S2 | *Normal S1 S2 | ||
| Line 21: | Line 24: | ||
*No abdominal tenderness or distention | *No abdominal tenderness or distention | ||
*Normal bowel sounds | *Normal bowel sounds | ||
===Neurologic=== | ===Neurologic=== | ||
* Muscle weakness | * Muscle weakness | ||
| Line 27: | Line 29: | ||
* Depressed or absent deep tendon reflexes | * Depressed or absent deep tendon reflexes | ||
* Muscle tenderness associated with muscle weakness ([[rhabdomyolysis]]) | * Muscle tenderness associated with muscle weakness ([[rhabdomyolysis]]) | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:49, 30 May 2017
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Resident Survival Guide |
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Hyperkalemia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hyperkalemia physical examination On the Web |
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American Roentgen Ray Society Images of Hyperkalemia physical examination |
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Risk calculators and risk factors for Hyperkalemia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]
Overview
In patients with hyperkalemia, physical examination may vary from normal to bradycardia (heart block), tachypnea due to respiratory muscle weakness and absent tendon reflexes.
Physical Examination
Ealuation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia.
Vitals
- Bradycardia (heart block)
- Tachypnea (respiratory muscle weakness)
Lungs
- Decrease chest expansion (respiratory muscle weakness)
- Normal breathe sounds
- Normal tactile fremitus
Cardiac
- Normal S1 S2
- Extra sysstole may be noted
Abdomen
- No abdominal tenderness or distention
- Normal bowel sounds
Neurologic
- Muscle weakness
- Flaccid paralysis
- Depressed or absent deep tendon reflexes
- Muscle tenderness associated with muscle weakness (rhabdomyolysis)