Lactic acidosis physical examination: Difference between revisions
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{{CMG}} {{AE}} {{Skhan}} | |||
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== Lactic acidosis physical examination == | |||
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination. | There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination. | ||
* Look for signs of [[Hypovolemic shock|hypovolemic]], [[Cardiogenic Shock|cardiogenic]], [[Septic Shock|septic]] or [[toxic shock]]. | *Look for signs of [[Hypovolemic shock|hypovolemic]], [[Cardiogenic Shock|cardiogenic]], [[Septic Shock|septic]] or [[toxic shock]]. | ||
* To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, [[tachypnea]], confusion, peripheral shutdown (check capillary refill) and [[oliguria]]. | *To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, [[tachypnea]], confusion, peripheral shutdown (check capillary refill) and [[oliguria]]. | ||
* Look for evidence of a septic focus and [[hyperthermia]], or even [[hypothermia]] in advanced sepsis. | *Look for evidence of a septic focus and [[hyperthermia]], or even [[hypothermia]] in advanced sepsis. | ||
* [[Kussmaul's breathing]] (rhythmic, deep, gasping breaths at normal or reduced frequency) indicates severe acidosis with attempted respiratory compensation__NOTOC__ | *[[Kussmaul's breathing]] (rhythmic, deep, gasping breaths at normal or reduced frequency) indicates severe acidosis with attempted respiratory compensation__NOTOC__ | ||
{{Lactic acidosis}} | {{Lactic acidosis}} | ||
Revision as of 12:24, 15 December 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saud Khan M.D.
Lactic acidosis physical examination
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination.
- Look for signs of hypovolemic, cardiogenic, septic or toxic shock.
- To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, tachypnea, confusion, peripheral shutdown (check capillary refill) and oliguria.
- Look for evidence of a septic focus and hyperthermia, or even hypothermia in advanced sepsis.
- Kussmaul's breathing (rhythmic, deep, gasping breaths at normal or reduced frequency) indicates severe acidosis with attempted respiratory compensation
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