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]]. Evaluation of vital signs plays a key role in determining hemodynamic stability and identifying the presence of cardiac arrhythmias due to the hyperkalemia. | 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.<ref name="pmid27939860">{{cite journal |vauthors=Kogika MM, de Morais HA |title=A Quick Reference on Hyperkalemia |journal=Vet. Clin. North Am. Small Anim. Pract. |volume=47 |issue=2 |pages=223–228 |year=2017 |pmid=27939860 |doi=10.1016/j.cvsm.2016.10.009 |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 14:44, 31 May 2017
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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.[1]
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)
References
- ↑ Kogika MM, de Morais HA (2017). "A Quick Reference on Hyperkalemia". Vet. Clin. North Am. Small Anim. Pract. 47 (2): 223–228. doi:10.1016/j.cvsm.2016.10.009. PMID 27939860.