Heat stroke differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Heat stroke must be differentiated from other disease that may cause alteration in mental status and hyperthermia including: [[Neuroleptic malignant syndrome]], [[Malignant hyperthermia]], [[Serotonin syndrome]], and [[sepsis]]. | Heat stroke must be differentiated from other disease that may cause alteration in mental status and hyperthermia including: [[Neuroleptic malignant syndrome]], [[Malignant hyperthermia]], [[Serotonin syndrome]], and [[sepsis]].<ref name="pmid26903338">{{cite journal |vauthors=Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, Hotchkiss RS, Levy MM, Marshall JC, Martin GS, Opal SM, Rubenfeld GD, van der Poll T, Vincent JL, Angus DC |title=The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) |journal=JAMA |volume=315 |issue=8 |pages=801–10 |year=2016 |pmid=26903338 |pmc=4968574 |doi=10.1001/jama.2016.0287 |url=}}</ref><ref name="pmid26903335">{{cite journal |vauthors=Seymour CW, Liu VX, Iwashyna TJ, Brunkhorst FM, Rea TD, Scherag A, Rubenfeld G, Kahn JM, Shankar-Hari M, Singer M, Deutschman CS, Escobar GJ, Angus DC |title=Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) |journal=JAMA |volume=315 |issue=8 |pages=762–74 |year=2016 |pmid=26903335 |pmc=5433435 |doi=10.1001/jama.2016.0288 |url=}}</ref><ref name="pmid10767887">{{cite journal |vauthors=Carbone JR |title=The neuroleptic malignant and serotonin syndromes |journal=Emerg. Med. Clin. North Am. |volume=18 |issue=2 |pages=317–25, x |year=2000 |pmid=10767887 |doi= |url=}}</ref><ref name="pmid7854515">{{cite journal |vauthors=Bodner RA, Lynch T, Lewis L, Kahn D |title=Serotonin syndrome |journal=Neurology |volume=45 |issue=2 |pages=219–23 |year=1995 |pmid=7854515 |doi= |url=}}</ref><ref name="pmid12873279">{{cite journal |vauthors=Ener RA, Meglathery SB, Van Decker WA, Gallagher RM |title=Serotonin syndrome and other serotonergic disorders |journal=Pain Med |volume=4 |issue=1 |pages=63–74 |year=2003 |pmid=12873279 |doi= |url=}}</ref><ref name="pmid20081135">{{cite journal |vauthors=Larach MG, Gronert GA, Allen GC, Brandom BW, Lehman EB |title=Clinical presentation, treatment, and complications of malignant hyperthermia in North America from 1987 to 2006 |journal=Anesth. Analg. |volume=110 |issue=2 |pages=498–507 |year=2010 |pmid=20081135 |doi=10.1213/ANE.0b013e3181c6b9b2 |url=}}</ref> | ||
==Differentiating Heat stroke from other Diseases== | ==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. | Differentiation between 2 types of heat stroke (Classic vs Exertional) is based on history, clinical findings, and laboratory findings.<ref name="pmid12075060">{{cite journal |vauthors=Bouchama A, Knochel JP |title=Heat stroke |journal=N. Engl. J. Med. |volume=346 |issue=25 |pages=1978–88 |year=2002 |pmid=12075060 |doi=10.1056/NEJMra011089 |url=}}</ref><ref name="pmid20827100">{{cite journal |vauthors=O'Connor FG, Casa DJ, Bergeron MF, Carter R, Deuster P, Heled Y, Kark J, Leon L, McDermott B, O'Brien K, Roberts WO, Sawka M |title=American College of Sports Medicine Roundtable on exertional heat stroke--return to duty/return to play: conference proceedings |journal=Curr Sports Med Rep |volume=9 |issue=5 |pages=314–21 |year=2010 |pmid=20827100 |doi=10.1249/JSR.0b013e3181f1d183 |url=}}</ref> | ||
The following table summarizes their differentiating feature. | The following table summarizes their differentiating feature. | ||
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<br>Heat stroke must be differentiated from other conditions that may cause hyperthermia. | <br>Heat stroke must be differentiated from other conditions that may cause hyperthermia.<ref name="pmid26903338">{{cite journal |vauthors=Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, Hotchkiss RS, Levy MM, Marshall JC, Martin GS, Opal SM, Rubenfeld GD, van der Poll T, Vincent JL, Angus DC |title=The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) |journal=JAMA |volume=315 |issue=8 |pages=801–10 |year=2016 |pmid=26903338 |pmc=4968574 |doi=10.1001/jama.2016.0287 |url=}}</ref><ref name="pmid26903335">{{cite journal |vauthors=Seymour CW, Liu VX, Iwashyna TJ, Brunkhorst FM, Rea TD, Scherag A, Rubenfeld G, Kahn JM, Shankar-Hari M, Singer M, Deutschman CS, Escobar GJ, Angus DC |title=Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) |journal=JAMA |volume=315 |issue=8 |pages=762–74 |year=2016 |pmid=26903335 |pmc=5433435 |doi=10.1001/jama.2016.0288 |url=}}</ref><ref name="pmid10767887">{{cite journal |vauthors=Carbone JR |title=The neuroleptic malignant and serotonin syndromes |journal=Emerg. Med. Clin. North Am. |volume=18 |issue=2 |pages=317–25, x |year=2000 |pmid=10767887 |doi= |url=}}</ref><ref name="pmid7854515">{{cite journal |vauthors=Bodner RA, Lynch T, Lewis L, Kahn D |title=Serotonin syndrome |journal=Neurology |volume=45 |issue=2 |pages=219–23 |year=1995 |pmid=7854515 |doi= |url=}}</ref><ref name="pmid12873279">{{cite journal |vauthors=Ener RA, Meglathery SB, Van Decker WA, Gallagher RM |title=Serotonin syndrome and other serotonergic disorders |journal=Pain Med |volume=4 |issue=1 |pages=63–74 |year=2003 |pmid=12873279 |doi= |url=}}</ref><ref name="pmid20081135">{{cite journal |vauthors=Larach MG, Gronert GA, Allen GC, Brandom BW, Lehman EB |title=Clinical presentation, treatment, and complications of malignant hyperthermia in North America from 1987 to 2006 |journal=Anesth. Analg. |volume=110 |issue=2 |pages=498–507 |year=2010 |pmid=20081135 |doi=10.1213/ANE.0b013e3181c6b9b2 |url=}}</ref> | ||
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Revision as of 19:05, 24 May 2017
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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
Heat stroke must be differentiated from other disease that may cause alteration in mental status and hyperthermia including: Neuroleptic malignant syndrome, Malignant hyperthermia, Serotonin syndrome, and sepsis.[1][2][3][4][5][6]
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.[7][8]
The following table summarizes their differentiating feature.
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Heat stroke must be differentiated from other conditions that may cause hyperthermia.[1][2][3][4][5][6]
References
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