Heat stroke physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The physical examination of a patient with heat stroke may yield the following findings:<ref name="pmid25880507">{{cite journal| author=Leon LR, Bouchama A| title=Heat stroke. | journal=Compr Physiol | year= 2015 | volume= 5 | issue= 2 | pages= 611-47 | pmid=25880507 | doi=10.1002/cphy.c140017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25880507 }} </ref><ref name=" | The physical examination of a patient with heat stroke may yield the following findings:<ref name="pmid1559470">{{cite journal| author=Tek D, Olshaker JS| title=Heat illness. | journal=Emerg Med Clin North Am | year= 1992 | volume= 10 | issue= 2 | pages= 299-310 | pmid=1559470 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1559470 }} </ref><ref name="pmid25880507">{{cite journal| author=Leon LR, Bouchama A| title=Heat stroke. | journal=Compr Physiol | year= 2015 | volume= 5 | issue= 2 | pages= 611-47 | pmid=25880507 | doi=10.1002/cphy.c140017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25880507 }} </ref><ref name="pmid22165656">{{cite journal| author=Druyan A, Amit D, Janovich R, Ran Y, Heled Y, Yuval H| title=Misdiagnosis of exertional heat stroke and improper medical treatment. | journal=Mil Med | year= 2011 | volume= 176 | issue= 11 | pages= 1278-80 | pmid=22165656 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22165656 }} </ref> | ||
===General Appearance=== | ===General Appearance=== | ||
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*Coma | *Coma | ||
*[[Seizures]] | *[[Seizures]] | ||
*Poor coordination | |||
===Musculoskeletal System=== | ===Musculoskeletal System=== | ||
Revision as of 19:02, 24 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
A detailed physical examination should be performed in case of a suspicion of heat stroke. The physical examination of a patient with heat stroke may yield a disoriented, comatosed individual with fever, hypotension, skin redness, skin burn, tachycardia, muscle spasms or pain and hyperventilation.[1]
Physical Examination
The physical examination of a patient with heat stroke may yield the following findings:[1][2][3]
General Appearance
- Disoriented
- Tired appearance
Vital Signs
- Fever (40-47 C)
- Hypotension
Cardiovascular System
- Tachycardia
- Widened pulse pressure
Central Nervous System
Musculoskeletal System
- Muscle spasms
- Muscle pain
Respiratory System
- Hyperventilation
Dermatological
- Decreased skin turgor
- Reddish skin
- Sun burn may be scene
References
- ↑ 1.0 1.1 Tek D, Olshaker JS (1992). "Heat illness". Emerg Med Clin North Am. 10 (2): 299–310. PMID 1559470.
- ↑ Leon LR, Bouchama A (2015). "Heat stroke". Compr Physiol. 5 (2): 611–47. doi:10.1002/cphy.c140017. PMID 25880507.
- ↑ Druyan A, Amit D, Janovich R, Ran Y, Heled Y, Yuval H (2011). "Misdiagnosis of exertional heat stroke and improper medical treatment". Mil Med. 176 (11): 1278–80. PMID 22165656.