Cholera physical examination: Difference between revisions
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The signs on physical examination depends on the level of dehydration | The signs on physical examination depends on the level of dehydration | ||
* Vitals | * Vitals | ||
** weak thready or absent pulse | ** weak thready or absent pulse, tachycardia | ||
** Postural hypotension | ** Postural hypotension | ||
* Somnolence and coma | * Somnolence and coma | ||
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* Oliguria | * Oliguria | ||
* Wrinkled skin | * Wrinkled skin | ||
==Assessment of dehydration== | ==Assessment of dehydration== | ||
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Revision as of 13:16, 4 April 2012
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Cholera Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cholera physical examination On the Web |
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American Roentgen Ray Society Images of Cholera physical examination |
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Risk calculators and risk factors for Cholera physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]
Overview
The signs on physical examination depends on the level of dehydration and patient may present with tachycardia, postural hypotension, somnolence, dry mucous membrane, sunken eyes,oliguria. If the severe diarrhea and vomiting are not aggressively treated, they can, within hours, result in life-threatening dehydration and electrolyte imbalances. The typical symptoms of dehydration include dizziness ( due to low blood pressure), wrinkled hands (poor skin turgor) , sunken eyes, muscle cramps (decreased potassium), and decreased urine output.
Physical examination
The signs on physical examination depends on the level of dehydration
- Vitals
- weak thready or absent pulse, tachycardia
- Postural hypotension
- Somnolence and coma
- Dry mucous membrane, excessive thirst, weakness, fatigue
- Sunken eyes
- Oliguria
- Wrinkled skin
Assessment of dehydration
| Mental status | Eyes | Thirst | Skin pinch | Conclusions |
|---|---|---|---|---|
| Normal, Alert | Normal, hydrated | Normal | Goes down quickly (spontaneously) | No dehydration |
| Irritable | Sunken | Drink eagerly | Goes back slowly (< 2 sec) | Some dehydration (in case if 2 of the symptoms are present) |
| Severe | Sunken | Drinks poorly | Goes back slowly (> 2 sec) | Severe dehydration (in case if 2 of the symptoms are present) |