The medical history (history of the patient) represents an important component in the diagnosis of hyperthermia. Family history What is the general health of your relatives? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed? How long have the symptoms been present? Do you currently have in the … Overheating (Hyperthermia): Medical History
Fever Respiratory System (J00-J99). Bronchitis* – inflammation of the bronchial mucosa. Pharyngitis* (inflammation of the throat) Pneumonia* (pneumonia) Sinusitis (sinusitis) Tonsillitis* (tonsillitis) or tonsillopharyngitis* (pharyngitis and / or tonsillitis). Tracheitis* (inflammation of the trachea) Blood, blood-forming organs – immune system (D50-D90). Congenital immunodeficiencies (see below immunodeficiency/immune deficiency). Hemophagocytic lymphohistiocytosis (HLH; Engl. Synonyms: hemophagocytic syndrome (HPS), … Overheating (Hyperthermia): Or something else? Differential Diagnosis
Hyperthermia (ICD-10-GM R50.9: Fever, unspecified; ICD-10-GM T88.3: Malignant hyperthermia due to anesthesia) is overheating that affects the entire body. In this disorder, there is an overheating of the body against the control of the thermoregulatory center (in the hypothalamus area). The set point of the body temperature is normal to decreased, which distinguishes hyperthermia from … Overheating (Hyperthermia)
The following are the most important diseases or complications that may be contributed to by hyperthermia: Respiratory system (J00-J99) Aggravation of existing conditions such as pulmonary insufficiency (limitation of lung function). Cardiovascular system (I00-I99). Cardiovascular failure [complication of: Heat collapse, hydroprive heat exhaustion (due to lack of water), saloprive heat exhaustion (due to lack of … Overheating (Hyperthermia): Complications
According to the cause, heat shock is divided into two groups: Exertional heat stroke ( EHS). Classical (“classical heat stroke”, CHS) Etiology (causes) Strainful physical stress Caused by ambient heat Load induced Independent of physical stress Frequency peak Mainly in younger people Especially for older people
A comprehensive clinical examination is the basis for selecting further diagnostic steps: Assessment of consciousness using the Glasgow Coma Scale (GCS). General physical examination – including blood pressure, pulse, body temperature, body weight, body height, body temperature; furthermore: Inspection (viewing) Skin, mucous membranes, and sclerae (white part of the eye) [sweating (hot, very red skin, … Overheating (Hyperthermia): Examination
Therapeutic target Reduction of body temperature Therapy recommendations Classical fever: see below Fever. For sunstroke: stay in a cool place and cooling by cool packs, etc. is usually sufficient. Application of cool infusions In heat exhaustion or heat collapse – physiological saline solution. For heat stroke: Anticonvulsants (anticonvulsants) and mannitol infusion/osmosteril 20%. Oxygen administration If … Overheating (Hyperthermia): Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic workup Computed tomography/magnetic resonance imaging of the skull (cranial CT or.cCT/cranial MRI or cMRI) – for further diagnosis in cases of unclear disturbance of consciousness.
The following symptoms and complaints may indicate hyperthermia: Overheating of the body, but with a normal set point. Harbingers of heat exhaustion are vigorous redness of the skin, high perspiration with dry mucous membranes and severe headache. The following symptoms and complaints may indicate heat exhaustion: Short-lasting loss of consciousness, which is often announced by … Overheating (Hyperthermia): Symptoms, Complaints, Signs
Specific treatment of hyperthermia depending on the cause (diagnosis). General measures Immediately make an emergency call! (Call number 112) Affected person to a shady cool place bring Undress person Cool with cold towels / cool packs; if necessary, rub skin with alcohol (faster cooling); if necessary, take a shower. Limited alcohol consumption (men: max. 25 … Overheating (Hyperthermia): Therapy
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin). Electrolytes – sodium, potassium, magnesium. Fasting glucose (fasting blood sugar) Blood gas analysis (BGA) Renal parameters – urea, creatinine. Coagulation … Overheating (Hyperthermia): Test and Diagnosis
