Tag: SOB
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Magnesium Deficiency and Asthma: Evidence.
Reference: Bokhari SA, Haseeb S, Kaleem M, Baig MW, Khan HAB, Jafar R, Munir S, Haseeb S, Bhutta ZI. Role of Intravenous Magnesium in the Management of Moderate to Severe Exacerbation of Asthma: A Literature Review. Cureus. 2022 Sep 7;14(9):e28892. doi: 10.7759/cureus.28892. PMID: 36225425; PMCID: PMC9543098.
Image: Adobe StockRead more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543098/
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End of Bed Assessment – 16 Reasons Your Patient is Pale
Here’s a list I’ve had for a while but not published: obvious, less obvious, and utterly surprising reasons your alive patient might be pale. References within. Detailed reference list coming soon.
Image above – a person with vitiligo (Source: Adobe Stock) - Shortness of breath (which may also be due to anaemia) – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996160/
- Distributive, Cardiogenic, Obstructive + Dissociative shocks (Pilbery & Lethbridge, 2016: 247)
- Including SOB/DIB, PE, pneumothorax, anaphylaxis
- Lung disease, leading to central cyanosis (Douglas et al, 2013: 45) including asthma and COPD (exacerbations & chronic)
- Acute myocardial infarction – https://patient.info/doctor/acute-myocardial-infarction
- Heart failure – https://em.osumc.edu/education/journalClub/SignsandSymptomsofHeartFailure.pdf
- Shock, caused by hypotension – https://www.nhlbi.nih.gov/health-topics/hypotension
- Vasovagal – ‘Facial pallor is often the first sign of an impending vasovagal faint’. https://academic.oup.com/brain/article/132/10/2630/329792>
- Shock – hypovolaemia – https://artifactsjournal.missouri.edu/2016/04/hypovolemic-shock-and-fluid-resuscitation/
- Lingual Raynaud Phenomenon – leading to a white tongue, temporarily – http://www.cmaj.ca/content/188/15/E396
- Drugs – Amiodarone can cause a ‘bluish-grey’ skin discoloration (Douglas et al, 2013: 44)
- Vitiligo (segmental and non-segmental) due to the lack of melanin, causes ‘pale patches of skin’ (Douglas et al, 2013: 46); non-segmental vitiligo ‘is thought to be an autoimmune condition’ (NHS – Vitiligo)
- Albinism (Douglas et al, 2013: 46)
Discoloration of the hands/nails/eyelids:
Photo above demonstrates reynauds (Source: Adobe Stock) 13. White discoloration of nails – 6 of 155 HIV patients in a 1998 study had this, amongst other more prevalent changes of their nails – https://jamanetwork.com/journals/jamadermatology/fullarticle/189490
14. Anaemia – ‘pallor of the conjunctiva, palm, nail beds or at any site was associated with a significantly lower hemoglobin concentration’ – From <https://academic.oup.com/jn/article/129/9/1675/4721973>
15. Raynaud Phenomenon – leading to white/yellow/purple fingers, temporarily – http://www.cmaj.ca/content/188/15/E396
Red herring
16. Rigor mortis and liver mortis in an alive patient who was suffering from a dissecting abdominal aorta: https://content.sciendo.com/view/journals/sjfs/22/1/article-p11.xml
Have I missed any? Add in the comments below —>
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Choking Doesn’t Always Happen Instantly After Putting Something in Your Mouth
Reference:
Newell, S.J. And Darling, 2014. J.C. Paediatrics: Lecture Notes, Ninth Edition, John Wiley & Sons: West Sussex
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No SOB, No DIB, But It Is Still Pneumonia
Reference:
Newell, S.J. And Darling, 2014. J.C. Paediatrics: Lecture Notes, Ninth Edition, John Wiley & Sons: West Sussex
