Cholera physical examination: Difference between revisions
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{{Cholera}} | {{Cholera}} | ||
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com] | |||
==Overview== | ==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. | 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 | ==Physical Examination== | ||
The signs on physical examination depends on the level of dehydration | The signs on physical examination depends on the level of dehydration | ||
===Vitals=== | |||
** | ** Weak thready or absent pulse, tachycardia | ||
** Postural hypotension | ** Postural hypotension | ||
* Somnolence and coma | ===Appearance of the Patient=== | ||
* Dry mucous membrane | * [[Somnolence]] and [[coma]] | ||
* Dry mucous membrane | |||
===Skin=== | |||
* Wrinkled skin | |||
===Eyes=== | |||
* Sunken eyes | * Sunken eyes | ||
==Assessment of | ==Assessment of Dehydration== | ||
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|+ '''Assessment of dehydration''' | |+ '''Assessment of dehydration''' | ||
Revision as of 15:19, 7 December 2012
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Cholera physical examination On the Web |
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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
Appearance of the Patient
- Somnolence and coma
- Dry mucous membrane
Skin
- Wrinkled skin
Eyes
- Sunken eyes
Assessment of Dehydration
| Mental status | Eyes | Thirst | Skin pinch | Conclusions |
|---|---|---|---|---|
| Normal, Alert | Normal, hydrated | Normal | Goes down quickly (spontaneously) | No / Mild dehydration |
| Irritable | Sunken | Drink eagerly | Goes back slowly (< 2 sec) | Some / Moderate 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) |