Diabetic ketoacidosis physical examination: Difference between revisions
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=== Heart === | === Heart === | ||
* S1 normal | |||
* S2 normal | |||
* Prolonged QT interval | |||
* U wave (hypokalemia) | |||
* Cardiac arrhythmia (Atrial fibrillation and ventricular arrhythmia | |||
=== Abdomen === | === Abdomen === | ||
| Line 36: | Line 41: | ||
=== Back === | === Back === | ||
* Not significant | |||
=== Genitourinary === | === Genitourinary === | ||
* Polyuria | |||
=== Extremities === | === Extremities === | ||
* Muscle atrophy | |||
* Cold extremities | |||
=== Neuromuscular === | === Neuromuscular === | ||
* Hemianopia | |||
* Hemiparesis | |||
* Seizures | |||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 22:24, 10 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Physical Examination
Appearance of the Patient
Patient may look thin, cachectic, ill-appearing, diaphoretic, disoriented or obtunded due to severe hyperglycemia and ketosis.
Vital Signs
- Hypothermia
- Hypotension
- Tachycardia
- Tachypnea
- Kussmaul breathing may be present in severe DKA
- Weak pulse due to dehydration
Skin
HEENT
Neck
Lungs
Heart
- S1 normal
- S2 normal
- Prolonged QT interval
- U wave (hypokalemia)
- Cardiac arrhythmia (Atrial fibrillation and ventricular arrhythmia
Abdomen
- Nausea
- Vomiting
- Abdominal pain
Back
- Not significant
Genitourinary
- Polyuria
Extremities
- Muscle atrophy
- Cold extremities
Neuromuscular
- Hemianopia
- Hemiparesis
- Seizures