Lactic acidosis physical examination: Difference between revisions

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Latest revision as of 12:26, 15 December 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saud Khan M.D.

There are no specific signs to determine lactic acidosis but its cause may be evaluated via thorough examination.

Look for signs of hypovolemic, cardiogenic, septic or toxic shock.
To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, tachypnea, confusion, peripheral shutdown (check capillary refill) and oliguria.
Look for evidence of a septic focus and hyperthermia (hypothermia in advanced sepsis).
Kussmaul's breathing may occur in cases of severe acidosis being compensated by respiratory effort.

@@ Line 8: / Line 8: @@
 *Look for signs of [[Hypovolemic shock|hypovolemic]], [[Cardiogenic Shock|cardiogenic]], [[Septic Shock|septic]] or [[toxic shock]].
 *To classify the lactic acidosis look for signs of tissue hypoperfusion such as hypotension, [[tachypnea]], confusion, peripheral shutdown (check capillary refill) and [[oliguria]].
-*Look for evidence of a septic focus and [[hyperthermia]], or even [[hypothermia]] in advanced sepsis.
+*Look for evidence of a septic focus and [[hyperthermia]] ([[hypothermia]] in advanced sepsis).
-*[[Kussmaul's breathing]] (rhythmic, deep, gasping breaths at normal or reduced frequency) indicates severe acidosis with attempted respiratory compensation__NOTOC__
+*[[Kussmaul's breathing]] may occur in cases of severe acidosis being compensated by respiratory effort.
 {{Lactic acidosis}}