Hyperkalemia physical examination: Difference between revisions
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{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com] | {{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com] | ||
==Overview== | ==Overview== | ||
In patients with [[hyperkalemia]], physical examination may vary from normal to [[bradycardia]] ([[heart block]]), [[tachypnea]] due to respiratory muscle weakness and absent [[tendon reflexes]]. | In patients with [[hyperkalemia]], physical examination may vary from normal to [[bradycardia]] ([[heart block]]), [[tachypnea]] due to respiratory muscle weakness and absent [[tendon reflexes]]. Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia. | ||
==Physical Examination== | ==Physical Examination== | ||
Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia. | Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia. | ||
Revision as of 16:50, 30 May 2017
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Resident Survival Guide |
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Hyperkalemia Microchapters |
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Hyperkalemia physical examination On the Web |
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American Roentgen Ray Society Images of Hyperkalemia physical examination |
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Risk calculators and risk factors for Hyperkalemia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]
Overview
In patients with hyperkalemia, physical examination may vary from normal to bradycardia (heart block), tachypnea due to respiratory muscle weakness and absent tendon reflexes. Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia.
Physical Examination
Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia.
Vitals
- Bradycardia (heart block)
- Tachypnea (respiratory muscle weakness)
Lungs
- Decrease chest expansion (respiratory muscle weakness)
- Normal breathe sounds
- Normal tactile fremitus
Cardiac
- Normal S1 S2
- Extra sysstole may be noted
Abdomen
- No abdominal tenderness or distention
- Normal bowel sounds
Neurologic
- Muscle weakness
- Flaccid paralysis
- Depressed or absent deep tendon reflexes
- Muscle tenderness associated with muscle weakness (rhabdomyolysis)