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 Guillain-Barré (pronounced ghee-yan bar-ray) syndrome is a very rare and serious condition that affects the nerves. It mainly affects the feet, hands and limbs, causing problems such as numbness, weakness and pain. It can be treated and most people will eventually make a full recovery, although it can occasionally[…] [nhs.uk] 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 Dysautonomie familiale (syndrome de Riley-Day) La dysautonomie familiale, également connue sous le nom de neuropathie sensorielle et autonome héréditaire de type 3 (HSAN3) ou de syndrome de Riley-Day, est une maladie héréditaire caractérisée par un dysfonctionnement sensoriel et une atteinte grave du système[…] [tellmegen.com] Crush Syndrome Symptoms pain from the crushed body part Physical exam abrasions, erythema, and ecchymosis monitor for compartment syndrome with 6 P’s Pulselessness Pallor Pain Paresthesias Poikilothermia [step2.medbullets.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] Shapiro Syndrome A problem in this area could lead to hypothermia or poikilothermia. [academic.oup.com] 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] 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] Femoral Artery Occlusion […] on clinical presentation Differential Arterial aneurysm distinguishing factors normal ankle-brachial index aneurysm seen on imaging Embolism (pain, pallor, paresthesias, poikilothermia [medbullets.com] 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] Arhinencephaly Physiological defects include poikilothermia, apnea, seizures, rigidity, and lack of psychomotor development. [pediatrics.aappublications.org] 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] 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] 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] 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] Phlegmasia Alba Dolens Local temperature is sometimes normal, however, in most cases coolness or poikilothermia of the distal parts of the limb is significant [7]. [cureus.com] Patient had 3 of 6 “Ps” associated with compartment syndrome—pain out of proportion to the physical findings, paresthesia, pallor, paralysis, pulselessness, and poikilothermia [ncbi.nlm.nih.gov] Physical examination revealed a significant left lower limb oedema along with pale skin, livedo reticularis, poikilothermia, and diminished distal artery pulsation. [cureus.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 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]
