Sepsis physical examination: Difference between revisions
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==Related Chapters== | |||
* [[Meningococcemia]] | |||
*[[Anaphylactic shock]] | |||
*[[Cardiogenic shock]] | |||
*[[Neurogenic shock]] | |||
*[[Sepsis]] | |||
*[[Shock (medical)|Shock]] | |||
*[[Septic shock]] | |||
*[[Systemic inflammatory response syndrome]] (SIRS) | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The physical examination of sepsis shows findings of the insulting system and some generalized features.
Physical examination [1], [2]
Sepsis is considered present if infection is highly suspected or proven and two or more of the following systemic inflammatory response syndrome (SIRS) criteria are met:
- Heart rate > 90 beats per minute
- Temperature < 36 (96.8 °F) or > 38 °C (100.4 °F)
- Tachypnea > 20 breaths per minute or, on blood gas, a PaCO2 < 32 mm Hg
Other general findings
- Hypotension
- Respiratory depression
- Cyanosis
- Hypothermia
- Decreased peripheral pulses
- Altered sensorium, lethargy, and coma.
The physical findings in sepsis and other severe form of sepsis depends on the site of infection. For example if respiratory system is the primary source for sepsis then signs such as fever, throat inflammation, lymphadenopathy productive cough, pleuritic chest pain, auscultatory findings can be appreciated.
References
- ↑ Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL (2008). "Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008". Critical Care Medicine. 36 (1): 296–327. doi:10.1097/01.CCM.0000298158.12101.41. PMID 18158437. Retrieved 2012-09-16. Unknown parameter
|month=ignored (help) - ↑ Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, Schein RM, Sibbald WJ. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest. 1992 Jun;101(6):1644-55. PMID 1303622.