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24 Possible Causes for Pallor, Prolonged Capillary Refill

  • Hypovolemia

    Prolonged capillary refill ( 2 seconds), especially when combined with tachycardia, is more specific, although it may be difficult to measure.[openanesthesia.org] . * Compensated by constriction of vascular bed * Blood pressure maintained * Normal respiratory rate * Pallor of the skin * Slight anxiety Stage II Hemorrhage Involves 15[sphynxcatvp.nocturna.org] Prolonged capillary refill time (pressing on the nail) and orthostatic hypotension are not reliable signs of mild to moderate hypovolemia 5 .[ehealthstar.com]

  • Hypovolemic Shock

    Prolonged capillary refill ( 2 seconds) , especially when combined with tachycardia, is more specific, although it may be difficult to measure.[openanesthesia.org] Excessive perspiration Vomiting Symptoms Symptoms may include: Anxiety or agitation Cool, clammy skin Confusion Decreased or no urine output General weakness Pale skin color (pallor[mountsinai.org] If the 5th toe is cold with a prolonged capillary refill, I progress to the other toes, up the foot, then the leg.[hawaii.edu]

  • Upper Gastrointestinal Hemorrhage

    capillary refill times (CRT 2 s) Decreased skin turgor Reduced jugular venous pressure (JVP) Sunken eyes Dry lips, mouth and tongue Tachycardia Postural hypotension Absolute[oxfordmedicaleducation.com] A secondary aim is to look for signs of underlying disease and significant comorbid conditions - for example: Pallor and signs of anaemia should be sought.[patient.co.uk] Classification of haemorrhagic shock 1 Examination Inspect: Pallor suggests significant anaemia Jugular venous pressure: reduced in hypovolaemia, but often difficult to assess[geekymedics.com]

  • Syncope

    Physical Examination Vital Signs (including orthostatic BP) Cardiac Exam (Murmurs, UE/LE pulses, capillary refill) Fluid Status Assessment (Mucous membranes, skin turgor)[pedclerk.bsd.uchicago.edu] In the second to minutes leading up to the fainting, the patient may feel weakness, nausea, pallor, and sweating.[courses.washington.edu] […] description of a tubal pregnancy does not appear until 1604, when an Italian physician’s notes describe a 31-year-old woman who presented with mysterious abdominal pain, pallor[merriam-webster.com]

  • Shock

    Dry mucous membrane, reduced skin turgor, prolonged capillary refill time, weak peripheral pulses and cold extremities can be early signs. [8] Low volume [ edit ] Hemorrhage[en.wikipedia.org] Paleness of the face (pallor) 2. Cold, clammy skin 3. Fast, shallow breathing 4. Fast, weak pulse 5. Yawning or sighing 6. Confusion 7.[sja.org.uk]

  • Gastrointestinal Hemorrhage

    refill time – prolongation ( 2 seconds) suggests hypovolaemia Assess peripheral pulse for rate and rhythm (tachycardia and a thready pulse suggests volume depletion) Assess[geekymedics.com] Seek immediate medical care (call 911) for serious symptoms, pale skin or pallor and difficulty breathing, severe abdominal pain , vomiting blood or black material, or change[healthgrades.com] […] may be shallow, eroded areas in the wall of the intestine, along with some bleeding Clinical shock: restlessness, acute hypotension, tachycardia, thready peripheral pulse, pallor[slideshare.net]

  • Malaria

    […] bleeding from nose gums or vein puncture sites; haematemesis or melaena Shock Compensated shock is defined as capillary refill 3 s or temperature gradient on leg (mid to[severemalaria.org] Infant presented with pallor, jaundice and massive spleen. Laboratory tests revealed anaemia, thrombocytopenia and bilirubinemia.[ncbi.nlm.nih.gov] Common physical findings include jaundice, hepatosplenomagaly and pallor.[clinicaladvisor.com]

  • Sepsis

    capillary refill 5 seconds core to peripheral temperature difference 3 C Respiratory dysfunction (in the absence of a cyanotic heart defect or a known chronic respiratory[en.wikipedia.org] We suggest that patients with low cardiac output and elevated systemic vascular resistance states (cool extremities, prolonged capillary refill, decreased urine output but[doi.org] […] following criteria: unexplained metabolic acidosis with base deficit 5 mEq/l lactic acidosis: serum lactate 2 times the upper limit of normal oliguria (urine output 0.5 ml/kg/h) prolonged[en.wikipedia.org]

  • Hemorrhagic Disease of the Newborn

    capillary refill time and feeble peripheral pulses.[medresearch.in] Signs and symptoms of the patients were convulsions (47%), feeding intolerance and poor sucking (47%), irritability (33%) and pallor (20%).[ncbi.nlm.nih.gov] It can also present with convulsion, poor sucking, irritability and pallor.[alliedacademies.org]

  • Purpura

    capillary refill Altered conscious state Irritability (inconsolable crying or screaming) Lethargy (including as reported by family or other staff) Important principles in[rch.org.au] Fever, lethargy, weight loss, bone pain, joint pain, pallor, lymphadenopathy and hepatosplenomegaly are characteristically absent.[aafp.org] One month before the onset of symptoms, she was evaluated for symptoms of decreased energy and pallor. Evaluation revealed low serum iron and ferritin concentrations.[journals.lww.com]

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