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11 Possible Causes for Paresthesia, 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] Prolonged capillary refill time (pressing on the nail) and orthostatic hypotension are not reliable signs of mild to moderate hypovolemia 5 .[ehealthstar.com] 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] […] effective in some cases of orthostatic hypotension. 17 [Evidence level A, randomized controlled trial] The most common side effects are pupillary dilation, piloerection, paresthesias[aafp.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]

  • Infectious Colitis

    Abstract The most useful individual signs for identifying dehydration in children are prolonged capillary refill time, abnormal skin turgor, and abnormal respiratory pattern[ncbi.nlm.nih.gov] […] urinary retention (5%) Hepatic: ALT increased (1% to 5%), AST increased (1% to 5%) Local: Injection site reaction (4%; pain, redness, burning) Neuromuscular & skeletal: Paresthesia[web.archive.org] capillary refill, poor skin turgor, and abnormal breathing. [23] [40] Other useful findings (when used in combination) include sunken eyes, decreased activity, a lack of[en.wikipedia.org]

  • 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] […] faintness, dizziness, or light-headedness (70% of cases of true syncope) Prior vertigo, weakness, diaphoresis, epigastric discomfort, nausea, blurred or faded vision, pallor, or paresthesias[emedicine.com] […] seizures, migraine, sudden death, cardiomyopathies) History of similar episodes Emotional state (social stressors) Drug use or medications (pro-arrhythmic medications; QT-prolonging[pedclerk.bsd.uchicago.edu]

  • 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] […] to examine the patient for visible signs that may suggest internal bleeding [2] : a wound bruising [ecchymosis ] blood collection [ hematoma ] abnormal skin sensation [ paresthesia[en.m.wikipedia.org] […] reduced in hypovolaemia, but often difficult to assess clinically Feel: Assess peripheries – these will often be cool in patients with acute blood loss due to hypovolaemia Capillary[geekymedics.com]

  • Sudden Cardiac Death

    Signs of compensated shock include Tachycardia Cool extremities Prolonged capillary refill (despite warm ambient temperature) Weak peripheral pulses compared with central[doi.org] Angina pain or discomfort is typically described by people as fullness, tingling, squeezing, pressure, heavy, suffocating, or gripping.[mountsinai.org]

  • Primary Erythromelalgia

    TRPV1 channels are non commoner in epileptic patients prolonged capillary refill time, proteins capable of transporting primary afferent neurons Caterina et al.[chicagocovenant.org] These people often have tingling and numbness in the feet as well.[webmd.com] There are some that will only have tingling sensations and slight itching that will only last for several minutes.[mddk.com]

  • 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] Other more severe neuropsychiatric disorders occasionally reported during postmarketing surveillance include sensory and motor neuropathies (including paresthesia, tremor,[wwwnc.cdc.gov] Pulmonary oedema Radiologically confirmed, or oxygen saturation 30/min, often with chest in-drawing and crepitation on auscultation Significant bleeding Including recurrent or prolonged[severemalaria.org]

  • Factor X Deficiency

    On admission to the special care nursery, he was noted to be grunting and pale, with a prolonged capillary refill.[nature.com] […] bend a joint normally Headache or neck ache Drowsiness or loss of consciousness Upset stomach Vomit that is black and syrupy or bright red Sensitivity to light Weakness, tingling[rarebleedingdisorders.com]

  • Dengue Fever

    When plasma leakage is severe patients may develop other signs of circulatory disturbance such as prolonged capillary refill time, narrow pulse pressures, and shock.[doi.org] We describe a 41-year-old man who developed weakness in the right arm and lower limbs, paresthesia in the upper and lower limbs, and sphincter disturbance four weeks following[ncbi.nlm.nih.gov]

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