Hyperkalemia physical examination: Difference between revisions
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==References== | ==References== | ||
<ref name="pmid20651174">{{cite journal| author=Beland MD, Walle NL, Machan JT, Cronan JJ| title=Renal cortical thickness measured at ultrasound: is it better than renal length as an indicator of renal function in chronic kidney disease? | journal=AJR Am J Roentgenol | year= 2010 | volume= 195 | issue= 2 | pages= W146-9 | pmid=20651174 | doi=10.2214/AJR.09.4104 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20651174 }} </ref> | |||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:39, 9 July 2018
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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. Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia.[1]
Physical Examination
Evaluation 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)
References
- ↑ Kogika MM, de Morais HA (2017). "A Quick Reference on Hyperkalemia". Vet. Clin. North Am. Small Anim. Pract. 47 (2): 223–228. doi:10.1016/j.cvsm.2016.10.009. PMID 27939860.
- ↑ Beland MD, Walle NL, Machan JT, Cronan JJ (2010). "Renal cortical thickness measured at ultrasound: is it better than renal length as an indicator of renal function in chronic kidney disease?". AJR Am J Roentgenol. 195 (2): W146–9. doi:10.2214/AJR.09.4104. PMID 20651174.