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43 Possible Causes for Prolonged Capillary Refill

  • Necrotizing Fasciitis

    Necrotizing fasciitis is one of the most dangerous complication of an abscess and it is still a disease with a high mortality. In this work, we decided to consider two cases: the first one concerns a male subject, aged 66, deceased because of a fatal necrotizing fasciitis associated to a cervical descending[…][ncbi.nlm.nih.gov]

  • 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]

  • 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] 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] The best clinical indicators of more than 5% dehydration are prolonged capillary refill, abnormal skin turgor, and absent tears. 9 The recommendations for assessing and managing[ncbi.nlm.nih.gov]

  • Infectious Enteritis

    In children the most useful clinical signs for identifying dehydration are an unwell appearance, prolonged capillary refill time (of more than two seconds) abnormal skin turgor[bpac.org.nz]

  • 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]

  • Infantile Gastroenteritis

    refill time Normal capillary refill time Prolonged capillary refill time Normal skin turgor Reduced skin turgor – Normal blood pressure Normal blood pressure Hypotension[teachmepaediatrics.com] Normal heart rate Tachycardia Tachycardia Normal breathing pattern Tachypnoea Tachypnoea Normal peripheral pulses Normal peripheral pulses Weak peripheral pulses Normal capillary[teachmepaediatrics.com]

  • Multifocal Atrial Tachycardia

    He presented also an important tachycardia at 270beats/min with weak pulses, cold extremities, prolonged capillary refill time and hypotension at 55/30 mmHg.[latunisiemedicale.com]

  • Diarrhea

    Examination of the extremities should be included because general perfusion and capillary refill can help in assessment of dehydration.[cdc.gov] An especially valid sign is the presence of prolonged skin tenting ( 41 ).[cdc.gov]

  • 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] […] 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]

  • 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] 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] […] reduced conscious level Breathing Kussmaul’s breathing: hyperventilation to compensate for metabolic acidosis manifesting as ‘air hunger’ Circulation Cold, pale peripheries Prolonged[oxfordmedicaleducation.com]

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