Chapter 020 Hypothermia and Frostbite (Part 3) doc
Chapter 020. Hypothermia and Frostbite (Part 3) doc
... of
Chapter 020. Hypothermia and Frostbite
(Part 3)
Source: Modified from RR Kempainen, DD Brunette: Resp. Care 49:192,
2004.Physical examination findings can also be altered by hypothermia. ... assumption that areflexia is solely attributable to hypothermia can
obscure and delay the diagnosis of a spinal cord lesion. Patients with hypothermia
may be confused or c...
Chapter 020. Hypothermia and Frostbite (Part 1) potx
... gluconeogenesis, as well as a
Chapter 020. Hypothermia and Frostbite
(Part 1)
Harrison's Internal Medicine > Chapter 20. Hypothermia and Frostbite
Hypothermia
Accidental hypothermia occurs ...
Several types of endocrine dysfunction can lead to hypothermia.
Hypothyroidism—particularly when extreme, as in myxedema coma—reduces the
metabolic rate and im...
Chapter 020. Hypothermia and Frostbite (Part 2) pot
... presentation
is often more subtle and other disease processes, toxin exposures, or psychiatric
diagnoses should be considered.
After initial stimulation by hypothermia, there is progressive ... patient with
mild hypothermia should raise suspicion of an overdose or CNS dysfunction due
to infection or trauma.
Table 20-2 Physiologic Changes Associated with Accidental
Hypothermia
nt...
Chapter 020. Hypothermia and Frostbite (Part 4) pot
... BP, blood pressure; CV, central venous; ROR, rate of
rewarming.[newpage]
Chapter 020. Hypothermia and Frostbite
(Part 4)
Rewarming Strategies
The key initial decision is whether to rewarm ... patients, especially those with primary accidental
hypothermia. Cardiopulmonary bypass should be considered in nonperfusing
patients without documented contraindications to resuscitat...
Chapter 020. Hypothermia and Frostbite (Part 5) pdf
... of hypothermia, the relaxation phase of the Achilles reflex
is prolonged more than the contraction phase.
Hypothermia obscures most of the symptoms and signs of infection,
notably fever and ... classify frostbite as superficial or deep.
Superficial does not entail tissue loss. Classically, frostbite is retrospectively
graded like a burn. First-degree frostbite causes only ane...
Chapter 022. Dizziness and Vertigo (Part 3) doc
... chronic
Chapter 022. Dizziness and Vertigo
(Part 3)
Recurrent unilateral labyrinthine dysfunction, in association with signs and
symptoms of cochlear disease (progressive hearing loss and tinnitus), ... vertigo and
accompanying nystagmus have a distinct pattern of latency, fatigability, and
habituation that differs from the less common central positional vertigo (Table...
Chapter 046. Sodium and Water (Part 3) docx
... nephrogenic)
Chapter 046. Sodium and Water
(Part 3)
Hypovolemia
Etiology
True volume depletion, or hypovolemia, generally refers to a state of
combined salt and water loss exceeding intake, ... disorders are due to impaired secretion of and renal unresponsiveness to AVP,
respectively, and are discussed below.
II. ECF volume normal or expanded
A. Decreased cardiac...
Chapter 058. Anemia and Polycythemia (Part 3) doc
... Chapter 058. Anemia and
Polycythemia
(Part 3)
Approach to the Patient: Anemia
The evaluation of the patient with anemia requires a careful history and
physical examination. ... important, and clinical laboratories often provide a description of both the
red and white cells, a white cell differential count, and the platelet count. In
patients with severe anemia and...
Chapter 059. Bleeding and Thrombosis (Part 3) docx
... Chapter 059. Bleeding and Thrombosis
(Part 3)
Sites of action of the four major physiologic antithrombotic pathways: ...
thrombin and the other clotting factors in coagulation. Antithrombin neutralizes
thrombin and other activated coagulation factors by forming a complex between
the active site of the enzyme and the ... (PAIs), specifically PAI1 and PAI2, inhibit the...
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