Anaphylaxis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with anaphylaxis is usually remarkable for flushing and pruritis. <ref name="pmiddoi: 10.1016/S1081-1206(10)61367-1.">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=doi: 10.1016/S1081-1206(10)61367-1. | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10 }} </ref>. | Physical examination of patients with anaphylaxis is usually remarkable for flushing and pruritis. The presentation can vary for patients and it is important not to delay treatment. <ref name="pmiddoi: 10.1016/S1081-1206(10)61367-1.">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=doi: 10.1016/S1081-1206(10)61367-1. | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10 }} </ref> <ref name="pmidhttps://doi.org/10.1186/s13223-018-0283-4">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=https://doi.org/10.1186/s13223-018-0283-4 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10 }} </ref> <ref name="pmid20584005">{{cite journal| author=Waserman S, Chad Z, Francoeur MJ, Small P, Stark D, Vander Leek TK | display-authors=etal| title=Management of anaphylaxis in primary care: Canadian expert consensus recommendations. | journal=Allergy | year= 2010 | volume= 65 | issue= 9 | pages= 1082-92 | pmid=20584005 | doi=10.1111/j.1398-9995.2010.02418.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20584005 }} </ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with anaphylaxis usually appear flushed with swollen areas. | *Patients with anaphylaxis usually appear flushed with swollen areas. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Hypotension|Low blood pressure]] | *[[Hypotension|Low blood pressure]] | ||
*Rapid [[pulse]] or tachycardia | *Rapid [[pulse]] or tachycardia | ||
===Skin=== | ===Skin=== | ||
*[[Hives]] | *[[Hives]] | ||
*Skin that is blue from lack of oxygen or pale from shock | *Skin that is blue from lack of oxygen or pale from shock | ||
*Eczema | *Eczema | ||
===Heart=== | ===Heart=== | ||
*Abnormal heart rhythm ([[arrhythmia]]) | *Abnormal heart rhythm ([[arrhythmia]]) | ||
===Lungs=== | ===Lungs=== | ||
*[[Wheezing]] | *[[Wheezing]] | ||
| Line 28: | Line 31: | ||
*Cough | *Cough | ||
*Hoarseness | *Hoarseness | ||
===Neurologic=== | ===Neurologic=== | ||
*Mental [[confusion]] | *Mental [[confusion]] | ||
*Dizziness | *Dizziness | ||
*Syncope | *Syncope | ||
===Other=== | ===Other=== | ||
*Swelling ([[angioedema]]) in the throat that may be severe enough to block the [[airway]] | *Swelling ([[angioedema]]) in the throat that may be severe enough to block the [[airway]] | ||
Revision as of 16:53, 14 April 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Dushka Riaz, MD
Overview
Patients with anaphylaxis usually appear flushed. Physical examination of patients with anaphylaxis is usually remarkable for swollen lips or other areas, wheezing, cyanosis, and low blood pressure. It is vital for the physician to assess cardiac and respiratory symptoms for any compromise as soon as possible. [1]
Physical Examination
Physical examination of patients with anaphylaxis is usually remarkable for flushing and pruritis. The presentation can vary for patients and it is important not to delay treatment. [2] [3] [4]
Appearance of the Patient
- Patients with anaphylaxis usually appear flushed with swollen areas.
Vital Signs
- Low blood pressure
- Rapid pulse or tachycardia
Skin
- Hives
- Skin that is blue from lack of oxygen or pale from shock
- Eczema
Heart
- Abnormal heart rhythm (arrhythmia)
Lungs
- Wheezing
- Fluid in the lungs (pulmonary edema)
- Nasal congestion
- Sneezing
- Cough
- Hoarseness
Neurologic
- Mental confusion
- Dizziness
- Syncope
Other
- Swelling (angioedema) in the throat that may be severe enough to block the airway
- Swelling of the eyes or face
- Weakness
- Nausea or vomiting
- Abdominal pain
- Diarrhea
- Anxiety
The health care provider will wait to test for the specific allergen that caused anaphylaxis (if the cause is not obvious) until after treatment.
References
- ↑ Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1016/S0091-6749(18)30572-4 Check
|pmid=value (help). - ↑ Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID 10.1016/S1081-1206(10)61367-1. doi: 10.1016/S1081-1206(10)61367-1. Check
|pmid=value (help). - ↑ Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMID https://doi.org/10.1186/s13223-018-0283-4 Check
|pmid=value (help). - ↑ Waserman S, Chad Z, Francoeur MJ, Small P, Stark D, Vander Leek TK; et al. (2010). "Management of anaphylaxis in primary care: Canadian expert consensus recommendations". Allergy. 65 (9): 1082–92. doi:10.1111/j.1398-9995.2010.02418.x. PMID 20584005.