Lactic acidosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saud Khan M.D.
Overview
There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination.
- Look for signs of hypovolemic, cardiogenic, septic or toxic shock.
- To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, tachypnea, confusion, peripheral shutdown (check capillary refill) and oliguria.
- Look for evidence of a septic focus and hyperthermia (hypothermia in advanced sepsis).
- Kussmaul's breathing may occur in cases of severe acidosis being compensated by respiratory effort.
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