Methemoglobinemia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Methemoglobinemia}} | {{Methemoglobinemia}} | ||
{{CMG}}; {{AE}}{{AKS}} | {{CMG}} {{shyam}}; {{AE}}{{AKS}} | ||
==Overview== | ==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]] | 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== | ==Physical Examination== | ||
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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 | ||
General Physical Examination | |||
*[[Pallor]] | |||
[[Lightheadedness]] | *[[Lightheadedness]] | ||
[[Headache]] | *[[Headache]] | ||
*Cyanosis | |||
*[[Lethargy]] | |||
*[[Altered mental status]] in higher MetHb levels | |||
*[[Coma]] | |||
[[ | *[[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 04:42, 22 January 2019
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Methemoglobinemia Microchapters |
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Methemoglobinemia physical examination On the Web |
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American Roentgen Ray Society Images of Methemoglobinemia physical examination |
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Risk calculators and risk factors for Methemoglobinemia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2]; 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
Blue-colored skin, lips, and nail beds
General Physical Examination
- Cyanosis
- 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.