Poikilothermia: Causes & Reasons

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Possible Causes for Poikilothermia

Compartment Syndrome

Poikilothermia, paralysis, pallor, and pulselessness = late findings indicative of complete ischemia and poor prognosis. 4 Evaluation: Assess ABCs and obtain VS. [emdocs.net]

Poikilothermia Difference in the injured area’s warmth compared to the contralateral location. [pedemmorsels.com]

Historically, the mnemonic memory device for compartment syndrome is the "5 Ps" (pain, paresthesia [change in sensation], pallor [pale coloration], paralysis, and poikilothermia [medicinenet.com]

Quadriplegia

The excerpt below from Apparelyzed explains what is know as poikilothermia, or variable body temperature. [forcaregivers.wordpress.com]

Poikilothermic And Poikilothermia Temperature Regulation Overview A normal, healthy human is able to maintain a constant body temperature of approximately 98.6F despite the [forcaregivers.wordpress.com]

Therefore, if a high paraplegic or quadriplegic is in an outside temperature over 90 F, especially when the humidity is high, the body temperature will begin to rise (Poikilothermia [forcaregivers.wordpress.com]

Guillain-Barré Syndrome

Immunotherapy for Guillain-Barré syndrome: a systematic review, Anthony V. Swan, Jean-Claude Raphaël, Djillali Annane, Rinske van Koningsveld, Pieter A. van Doorn Summary Guillain-Barré syndrome (GBS) is an acute inflammatory disorder of the peripheral nervous system thought to be due to autoimmunity for which[…] [web.archive.org]

Heat Stroke

Heat stroke (HS) is defined as a severe elevation of core body temperature along with central nervous system dysfunction. Exertional heat stroke (EHS) with acute liver failure (ALF) is a rare condition. The authors report the case of a 25-year-old man with a history of cognitive enhancers' intake who developed[…] [ncbi.nlm.nih.gov]

Familial Dysautonomia

Clin Pediatr (Phila). 2015 Feb;54(2):174-8. doi: 10.1177/0009922814563512. Epub 2014 Dec 23. Author information 1 Hebrew University-Hadassah Medical School, Jerusalem, Israel. 2 Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. 3 Boston Children's Hospital, Harvard Medical School, Boston, MA, USA[…] [ncbi.nlm.nih.gov]

Shapiro Syndrome

A problem in this area could lead to hypothermia or poikilothermia. [academic.oup.com]

Critical Limb Ischemia

The typical signs and symptoms of ALI include pain, pallor, pulselessness, poikilothermia, paralysis, and paresthesia of the limb distal to the site of vascular occlusion [amboss.com]

[…] in about half of patients) Pallor (obstruction is typically one joint above the level of demarcation of pallor) Paralysis (a bad sign, particularly if the calf is tight) Poikilothermia [mdedge.com]

[…] symptoms (not typical of claudication) - Impaired walking function - Ischemic rest pain Physical Examination - Rule of Ps—pain, pallor, paresis, pulse deficit,paresthesia, and poikilothermia [slideshare.net]

Thromboangiitis Obliterans

[…] migratory distended veins with redness and tenderness darkened or discolored skin gangrene cool extremities limb ischemia pain, paresthesia, pallor, mottling, pulselessness, and poikilothermia [step2.medbullets.com]

Features of acute limb ischemia (eg, pain, paresthesia, palor, mottling, poikilothermia, paresis, and pulselessness) are common signs and symptoms encountered in the emergency [emedicine.com]

Spinal Shock

Its critical features are hypotension, bradycardia and poikilothermia. [trauma.reach.vic.gov.au]

Inability to sweat or shiver (poikilothermia) affects the patient’s temperature regulation and can worsen bradycardia. [myamericannurse.com]

Poikilothermia, which is the inability to regulate core body temperature is common among individuals with a spinal cord injury and individuals with a lesion at T6 or above [physio-pedia.com]

Arhinencephaly

Physiological defects include poikilothermia, apnea, seizures, rigidity, and lack of psychomotor development. [pediatrics.aappublications.org]

Lower Extremity Arterial Aneurysm

[…] on clinical presentation Differential Arterial aneurysm distinguishing factors normal ankle-brachial index aneurysm seen on imaging Embolism (pain, pallor, paresthesias, poikilothermia [medbullets.com]

Femoral Artery Occlusion

History and Physical The classic presentation of limb ischemia is known as the "six Ps," pallor, pain, paresthesia, paralysis, pulselessness, and poikilothermia. [ncbi.nlm.nih.gov]

Most patients initially present with pain, pallor, pulselessness, and poikilothermia. Pain is often localized and less severe when the limb is in the dependent position. [ncbi.nlm.nih.gov]

Spinal Cord Transection

Inability to sweat or shiver (poikilothermia) affects the patient’s temperature regulation and can worsen bradycardia. [americannursetoday.com]

Hypothermia of spinal cord injury To put correctly, the spinal injury patient develops "poikilothermia", which is the deregulation of body temperature control leading to abnormally [derangedphysiology.com]

Poikilothermia is more likely to occur with higher-level SCIs and more complete motor impairment. Monitor environmental temperature, as this can affect body temperature. [americannursetoday.com]

Embolism of Arteries of the Extremities

[…] in some cases) Patient without Underlying Peripheral Arterial Disease : typically present acutely with classical presentation of 6 P ‘s Pain Pulseless Parasthesias Pallor Poikilothermia [mdnxs.com]

The “six Ps” – pain, pallor, paresthesia, paralysis, pulselessness, poikilothermia – are applicable also for acute arm ischemia, but coldness and color changes are more prominent [intranet.tdmu.edu.ua]

Spinal Trauma

Its critical features are hypotension, bradycardia and poikilothermia. [trauma.reach.vic.gov.au]

Greatly increase cost and morbidity poikilothermia in patients with lesion above T1 hyponatraemia common in first week Prognosis Because of the possibility of spinal shock [aic.cuhk.edu.hk]

[…] a reflex contraction of the anal sphincter Decreased bladder function Fecal retention Unexplained ileus Autonomic hyperreflexia BP variability with flushing and sweating Poikilothermia [reliasmedia.com]

Amaurotic Familial Idiocy

[…] diffuse infantile familial sclerosis Dysmyelinating disease, autosomal recessive, usually presents by 1 yr, specific enzyme deficiency identified, rapid spontaneous nystagmus, poikilothermia [kmle.co.kr]

Splenic Artery Embolism

[…] ischemia is typically categorized as thrombotic, embolic or traumatic [ 12 ], and characteristically described by the six Ps: pain, pallor, pulselessness, paresthesias, poikilothermia [intjem.springeropen.com]

In terms of clinical presentation, patients may exhibit a broad spectrum of complaints including pain, pallor, poikilothermia, and paresthesias with extreme cases threatening [intechopen.com]

Cervical Spine Fracture

[…] examination may find one or more of the following: spinal or neurogenic shock, hypotension with paradoxical bradycardia, fecal incontinence, urinary retention, ileus, priapism, poikilothermia [symptoma.com]

[…] paralysis of voluntary muscles, areflexia, loss of sympathetic tone ( hypotension and bradycardia in high thoracic or cervical injuries, increased vascular capacitance ), poikilothermia [trauma.org]

Anterior Compartment Syndrome

Historically, the mnemonic memory device for compartment syndrome is the "5 Ps" (pain, paresthesia [change in sensation], pallor [pale coloration], paralysis, and poikilothermia [medicinenet.com]

Historically, the pneumonic memory device for compartment syndrome is the "5 Ps" (pain, paresthesia [change in sensation], pallor [pale coloration], paralysis, and poikilothermia [ipcphysicaltherapy.com]

[…] finding] Presence of blisters [they can occur without compartment syndrome too] The traditional 5 P’s of acute ischemia in a limb pain, paresthesia, pallor, pulselessness, poikilothermia [boneandspine.com]

Septo-Optic Dysplasia

Owing to the poikilothermia, such children also experience dangerously high fevers during illness and unusually low body temperatures during healthy periods. [aao.org]

Clinical signs of hypocorticalism are neonatal hypoglycemia, hypotension, recurrent infections, seizures, developmental delay and poikilothermia (impaired temperature regulation [aao.org]

Autosomal Recessive Spastic Paraplegia Type 20

Arterial Obstruction and Ischemia in Limb -> PAIN on passive stretch -> PALLOR -> DIMINISHED PULSE OR PULSELESSNESS -> PARESTHESIAS or PARALYSIS demonstrating PN injury -> POIKILOTHERMIA [quizlet.com]

[…] lymphatic drainage - all leading to ischemia. ✓ PAIN early sign ✓ PALLOR ✓ DIMINISHED PULSE OR PULSELESSNESS ✓ PARESTHESIAS early OR PARALYSIS demonstrating PN injury ✓ POIKILOTHERMIA [quizlet.com]

Hypothalamic Dysfunction

[…] dysfunction including deficiencies of growth hormone, thyrotropin, adrenocorticotropic hormone and gonadotropins, diabetes insipidus, adipsia with essential hypernatremia and poikilothermia [ncbi.nlm.nih.gov]

Besides the aforementioned symptoms, patients with hypothalamic dysfunction frequently suffer from disorders of body temperature, namely with hypothermia, hyperthermia, or poikilothermia [symptoma.com]

Benign Familial Infantile Epilepsy Type 4

[…] familial sclerosis <radiology> Dysmyelinating disease, autosomal recessive, usually presents by 1 yr, specific enzyme deficiency identified, rapid spontaneous nystagmus, poikilothermia [kmle.co.kr]

Ischemia

Clinical manifestations of acute limb ischemia (which can be summarized as the "six P's") include pain, pallor, pulseless, paresthesia, paralysis, and poikilothermia.[4] Without [en.wikipedia.org]

Abdominal Aortic Thrombosis

Typically, patients with AATO have findings of acute limb ischemia, known as the “6 Ps” including pain, pallor, paresthesia, paralysis, poikilothermia, and pulselessness. [pulsus.com]

Hypothalamic Hamartoma

Residual complications include diabetes insipidus (n = 1), poikilothermia (n = 1), visual field deficit (n = 1), and hemiparesis (n = 1). [ncbi.nlm.nih.gov]

Popliteal Aneurysm

When an aneurysm acutely thromboses, the most common symptoms are acute lower extremity ischemia resulting in the acute onset of pain, paresthesias, paresis, pallor and poikilothermia [ncbi.nlm.nih.gov]

Popliteal Artery Aneurysm

Cervical Spinal Cord Injury

Inability to sweat or shiver (poikilothermia) affects the patient’s temperature regulation and can worsen bradycardia. [americannursetoday.com]

Poikilothermia is more likely to occur with higher-level SCIs and more complete motor impairment. Monitor environmental temperature, as this can affect body temperature. [americannursetoday.com]

Adrenal Insufficiency Secondary to Hypopituitarism

Disorders of Temperature Regulation Disorders of Food Intake Hyperthermia Anorexia Hypothermia Hyperphasia Poikilothermia Disorders of Water Intake Disorders of Sleep and [ocw.tufts.edu]