Methemoglobinemia physical examination: Difference between revisions
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Vital Signs | Vital Signs | ||
[[Tachycardia]] with regular pulse | [[Tachycardia]] with regular pulse | ||
[[Respiratory depression]] | [[Respiratory depression]] | ||
[[Dyspnea]] | [[Dyspnea]] | ||
[[Cyanosis]] <ref name="pmid29756717">{{cite journal| author=Orlandi M, Amadi MA, Goldaracena PX, Péreza FE| title=[Cyanosis in 14-year-old patient. Methemoglobinemia: case report]. | journal=Arch Argent Pediatr | year= 2018 | volume= 116 | issue= 3 | pages= e429-e432 | pmid=29756717 | doi=10.5546/aap.2018.e429 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29756717 }} </ref> | [[Cyanosis]] <ref name="pmid29756717">{{cite journal| author=Orlandi M, Amadi MA, Goldaracena PX, Péreza FE| title=[Cyanosis in 14-year-old patient. Methemoglobinemia: case report]. | journal=Arch Argent Pediatr | year= 2018 | volume= 116 | issue= 3 | pages= e429-e432 | pmid=29756717 | doi=10.5546/aap.2018.e429 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29756717 }} </ref> | ||
Blue-colored skin, lips, and nail beds | Blue-colored skin, lips, and nail beds | ||
[[Pallor]] | [[Pallor]] | ||
HEENT | HEENT | ||
[[Lightheadedness]] | [[Lightheadedness]] | ||
[[Headache]] | [[Headache]] | ||
Extremities | Extremities | ||
Cyanosis | Cyanosis | ||
Neuromuscular | Neuromuscular | ||
[[Fatigue]] | [[Fatigue]] | ||
[[Lethargy]] | [[Lethargy]] | ||
[[Altered mental status]] in higher MetHb levels | [[Altered mental status]] in higher MetHb levels | ||
[[Coma] | |||
[[Coma]] | |||
[[Shock]] | [[Shock]] | ||
[[Seizures]]<ref name="pmid27397059">{{cite journal| author=Cho YS, Chung BY, Park CW, Kim HO| title=Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis. | journal=Pediatr Dermatol | year= 2016 | volume= 33 | issue= 5 | pages= e284-5 | pmid=27397059 | doi=10.1111/pde.12927 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27397059 }} </ref> | [[Seizures]]<ref name="pmid27397059">{{cite journal| author=Cho YS, Chung BY, Park CW, Kim HO| title=Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis. | journal=Pediatr Dermatol | year= 2016 | volume= 33 | issue= 5 | pages= e284-5 | pmid=27397059 | doi=10.1111/pde.12927 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27397059 }} </ref> | ||
==References== | ==References== | ||
Revision as of 14:51, 15 August 2018
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Methemoglobinemia Microchapters |
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Methemoglobinemia physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aksiniya Stevasarova, M.D.
Overview
Patients with methemoglobinemia usually present with gray or bluish skin discoloraion. Physical examination of patients with methemoglobinemia is usually remarkable for headache, tachycardia, dyspnea and lightheadedness
Physical Examination
Appearance of the Patient Methemoglobinemia patients can present with different shades of bluish skin color, depending on the levels of MetHb in the blood. [1]
Vital Signs
Tachycardia with regular pulse
Cyanosis [2] Blue-colored skin, lips, and nail beds
HEENT
Extremities
Cyanosis
Neuromuscular
Altered mental status in higher MetHb levels
References
- ↑ Chung NY, Batra R, Itzkevitch M, Boruchov D, Baldauf M (2010). "Severe methemoglobinemia linked to gel-type topical benzocaine use: a case report". J Emerg Med. 38 (5): 601–6. doi:10.1016/j.jemermed.2008.06.025. PMID 19097728.
- ↑ Orlandi M, Amadi MA, Goldaracena PX, Péreza FE (2018). "[Cyanosis in 14-year-old patient. Methemoglobinemia: case report]". Arch Argent Pediatr. 116 (3): e429–e432. doi:10.5546/aap.2018.e429. PMID 29756717.
- ↑ Cho YS, Chung BY, Park CW, Kim HO (2016). "Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis". Pediatr Dermatol. 33 (5): e284–5. doi:10.1111/pde.12927. PMID 27397059.