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 sun:
- Physically worked hard?
- Strained sport driven?
- Have you taken your body temperature? If so, how high is it?
- Do you feel restless, anxious?*
- Is your breathing rapid?*
- Do you have a dry warm skin?*
- Do you have any other complaints such as:
- Headache?
- Circulatory weakness?
- Muscle cramps?
- Weakness?
- Dizziness?
- Visual disturbances?
Vegetative anamnesis including nutritional anamnesis.
- How much did you drink today?
- What did you drink today?
- What have you eaten in the last few days?
- Do you have diarrhea?
- Have you been drinking alcohol?
- Did you cover your head and neck in the sun?
Self history including medication history.
- Pre-existing conditions (cardiovascular disease, diabetes mellitus).
- Operations
- Allergies
- Environmental history (high heat)
- Medication history (triggers for malignant hyperthermia):
- Depolarizing muscle relaxants (succinylcholine).
- Drug use
- Caffeine
- Cresols (also hydroxytoluenes or methylphenols).
- Ryanodine – causes calcium efflux from the sarcoplasmic reticulum; intoxication (poisoning) results in persistent muscle contractions.
- Vaporizer with inhalation anesthetics (sevoflurane, isoflurane).
- Other pharmaceuticals used in anesthesia (nitrous oxide, opioids, sleeping pills, benzodiazepines, non-depolarizing muscle relaxants).
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)
