Cholera physical examination

Revision as of 17:24, 18 September 2017 by WikiBot (talk | contribs) (Changes made per Mahshid's request)
Jump to navigation Jump to search

Cholera Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cholera from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other diagnostic studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Cholera physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cholera physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cholera physical examination

CDC on Cholera physical examination

Cholera physical examination in the news

Blogs on Cholera physical examination

Directions to Hospitals Treating Cholera

Risk calculators and risk factors for Cholera physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]

Overview

Signs of cholera on physical examination depend on the patient's level of dehydration. Cholera patients may present with tachycardia, postural hypotension, somnolence, dry mucous membrane, sunken eyes, and/or oliguria. If severe diarrhea and vomiting are not aggressively treated, they can, within hours, result in life-threatening dehydration and electrolyte imbalances. The typical symptoms of dehydration include dizziness (due to low blood pressure), wrinkled hands (due to poor skin turgor), sunken eyes, muscle cramps (due to hypokalemia), and decreased urine output.

Physical Examination

The presentation of cholera upon physical examination depends on the patient's level of dehydration.

Vitals

Appearance of the Patient

Skin

  • Wrinkled skin

Eyes

  • Sunken eyes

Assessment of Dehydration

Mental status Eyes Thirst Skin pinch Conclusions
Normal, alert Normal, hydrated Normal Goes down quickly (spontaneously) No / Mild dehydration
Irritable Sunken Drink eagerly Goes back slowly (< 2 sec) Some / Moderate dehydration (in case if 2 of the symptoms are present)
Severe Sunken Drinks poorly Goes back slowly (> 2 sec) Severe dehydration (in case if 2 of the symptoms are present)

References


Template:WikiDoc Sources