Heat stroke differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Differentiating Heat stroke from other Diseases
Differentiation between 2 types of heat stroke (Classic vs Exertional) is based on history, clinical findings, and laboratory findings. The following table summarizes their differentiating feature.
Characteristic | Exertional Heat Stroke | Classic Heat Stroke | |
---|---|---|---|
Age | Adults | Early childhood or elderly | |
Health status | Healthy and athlete | Ill and debilitate | |
Weather condition | Temperate or hot | Heat wave | |
Activity | Sustained or heavy exertion | Sedentary | |
Medications or drug use | Ergogenic aids, ecstasy, cocaine | Diuretics, β-blockers, antihistamines,
antidepressants | |
Sweating | Present | Abscent | |
Laboratory findings | Acid-base disturbance | Metabolic acidosis | Mixed metabolic and respiratory acidosis |
Calcium | |||
Potassium | |||
Phosphate | |||
Blood glucose | |||
Heat stroke must be differentiated from other conditions that may cause hyperthermia.