Cyanosis - Revision history

Rossdonaldson1 at 14:45, 25 November 2021

2021-11-25T14:45:26Z

← Older revision		Revision as of 14:45, 25 November 2021
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	==References==		==References==
	<references/>		<references/>

			[[Category:Symptoms]]

Rossdonaldson1: /* Neonates / Infants */

2021-10-23T12:24:21Z

Neonates / Infants

← Older revision		Revision as of 12:24, 23 October 2021
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	**Cystic hygroma		**Cystic hygroma
	**Hemangioma		**Hemangioma
	*[[Metabolic abnormalities]]		*Metabolic abnormalities
	**[[Polycythemia]]		**[[Polycythemia]]
	**[[Methemoglobinemia]]		**[[Methemoglobinemia]]

Rossdonaldson1: /* Clinical Features */

2021-10-23T11:55:09Z

Clinical Features

← Older revision		Revision as of 11:55, 23 October 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Cyanotic neonate.jpg\|thumb\|Cyanotic neonate from cardiac pathology. Note purple nailbeds.]]		[[File:Cyanotic neonate.jpg\|thumb\|Cyanotic neonate from cardiac pathology. Note purple nailbeds.]]
			[[File:Cynosis.jpg\|thumb\|Cyanosis of the distal fingers in a patient with low oxygen saturation.]]
	*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin		*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin

Rossdonaldson1: /* Clinical Features */

2021-10-23T11:52:59Z

Clinical Features

← Older revision		Revision as of 11:52, 23 October 2021
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	==Clinical Features==		==Clinical Features==
			[[File:Cyanotic neonate.jpg\|thumb\|Cyanotic neonate from cardiac pathology. Note purple nailbeds.]]
	*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin		*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin

Rossdonaldson1 at 11:50, 23 October 2021

2021-10-23T11:50:41Z

← Older revision		Revision as of 11:50, 23 October 2021
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	==Definition==		==Background==
			===Definition===
	*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin		*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin
	*Subtypes
	**Acrocyanosis - cyanosis of the palms, soles, fingers and/or toes; it can be a normal finding due to, for instance, peripheral vasoconstriction due to cold or the result of pathology like peripheral vascular disease
	**Central cyanosis - cyanosis of the trunk, head, and/or mouth that is never normal

	==Causes==		==Causes==
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	*Persistent pulmonary hypertension of the newborn (PPHN)<ref>Steinhorn RH. Evaluation and management of the cyanotic neonate. Clin Pediatr Emerg Med. 2008 Sep;9(3):169-175. doi: 10.1016/j.cpem.2008.06.006. PMID: 19727322; PMCID: PMC2598396</ref>		*Persistent pulmonary hypertension of the newborn (PPHN)<ref>Steinhorn RH. Evaluation and management of the cyanotic neonate. Clin Pediatr Emerg Med. 2008 Sep;9(3):169-175. doi: 10.1016/j.cpem.2008.06.006. PMID: 19727322; PMCID: PMC2598396</ref>
	*Congenital heart syndromes		*Congenital heart syndromes
	**Transposition of the great vessels		**[[Transposition of the great vessels]]
	**Tetraology of Fallot		**[[Tetraology of Fallot]]
	**Total anomalous pulmonary venous return		**[[Total anomalous pulmonary venous return]]
	**Hypoplastic left heart		**Hypoplastic left heart
	**Truncus arteriosus		**[[Truncus arteriosus]]
	**Tricuspid atresia		**[[Tricuspid atresia]]
	**Pulmonary atresia		**[[Pulmonary atresia]]
	**Atrioventricular canal defect		**Atrioventricular canal defect
	*Airway conditions		*Airway conditions
	**Airway foreign body		**[[Airway foreign body]]
	**Diaphragmatic hernia		**Diaphragmatic hernia
	**Croup		**[[Croup]]
	**Pneumonia		**[[Pneumonia]]
	**Bronchiolitis		**[[Bronchiolitis]]
	**Reactive airway disease		**Reactive airway disease
	**Choanal atresia		**[[Choanal atresia]]
	**Laryngomalacia		**[[Laryngomalacia]]
	**Vocal cord paralysis		**Vocal cord paralysis
	**Tracheal stenosis		**Tracheal stenosis
	**Cystic hygroma		**Cystic hygroma
	**Hemangioma		**Hemangioma
	*Metabolic abnormalities		*[[Metabolic abnormalities]]
	**Polycythemia		**[[Polycythemia]]
	**Methemoglobinemia		**[[Methemoglobinemia]]

	===Adults===		===Adults===
	*Hypoxia<ref>Adeyinka A, Kondamudi NP. Cyanosis. [Updated 2021 Sep 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482247/</ref>		*Hypoxia<ref>Adeyinka A, Kondamudi NP. Cyanosis. [Updated 2021 Sep 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482247/</ref>
	*Hypopnea / Hypoventilation		*Hypopnea / Hypoventilation
	*Pneumonia		*[[Pneumonia]]
	*Valvular heart disease		*Valvular heart disease
	*ASD / VSD		*ASD / VSD
	*Pulmonary embolism / DVT		*[[Pulmonary embolism]] / [[DVT]]
	*Myocardial infarction		*[[Myocardial infarction]]
	*Vascular disease		*Vascular disease
	*Pulmonary HTN		*[[Pulmonary HTN]]
	*COPD		*[[COPD]]
	*Pneumothorax		*[[Pneumothorax]]
	*Hypoperfusion		*Hypoperfusion
	*CHF		*[[CHF]]
	*Methemoglobinemia		*Methemoglobinemia
	*Polycythemia		*Polycythemia
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	*Raynauds		*Raynauds
	*Administration of methylene blue		*Administration of methylene blue
	<hr>
			==Clinical Features==
			*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin

			==Differential Diagnosis==


			==Evaluation==
			===Workup===

			===Diagnosis===
			*Subtypes
			**Acrocyanosis - cyanosis of the palms, soles, fingers and/or toes; it can be a normal finding due to, for instance, peripheral vasoconstriction due to cold or the result of pathology like peripheral vascular disease
			**Central cyanosis - cyanosis of the trunk, head, and/or mouth that is never normal

			==Management==


			==Disposition==


			==See Also==


			==External Links==


			==References==
			<references/>

Corkeith: Needs additional information and links for content found elsewhere on Wikem. A graphic to display the neonate v peds v adult causes and incidence would be helpful.

2021-10-21T01:19:41Z

Needs additional information and links for content found elsewhere on Wikem. A graphic to display the neonate v peds v adult causes and incidence would be helpful.

New page

==Definition==
*Faintly or frankly bluish or ashen discoloration typically of the nailbeds, lips, mouth, earlobes due to a high concentration of deoxygenated hemoglobin
*Subtypes
**Acrocyanosis - cyanosis of the palms, soles, fingers and/or toes; it can be a normal finding due to, for instance, peripheral vasoconstriction due to cold or the result of pathology like peripheral vascular disease
**Central cyanosis - cyanosis of the trunk, head, and/or mouth that is never normal

==Causes==
===Neonates / Infants===
*Persistent pulmonary hypertension of the newborn (PPHN)<ref>Steinhorn RH. Evaluation and management of the cyanotic neonate. Clin Pediatr Emerg Med. 2008 Sep;9(3):169-175. doi: 10.1016/j.cpem.2008.06.006. PMID: 19727322; PMCID: PMC2598396</ref>
*Congenital heart syndromes
**Transposition of the great vessels
**Tetraology of Fallot
**Total anomalous pulmonary venous return
**Hypoplastic left heart
**Truncus arteriosus
**Tricuspid atresia
**Pulmonary atresia
**Atrioventricular canal defect
*Airway conditions
**Airway foreign body
**Diaphragmatic hernia
**Croup
**Pneumonia
**Bronchiolitis
**Reactive airway disease
**Choanal atresia
**Laryngomalacia
**Vocal cord paralysis
**Tracheal stenosis
**Cystic hygroma
**Hemangioma
*Metabolic abnormalities
**Polycythemia
**Methemoglobinemia

===Adults===
*Hypoxia<ref>Adeyinka A, Kondamudi NP. Cyanosis. [Updated 2021 Sep 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482247/</ref>
*Hypopnea / Hypoventilation
*Pneumonia
*Valvular heart disease
*ASD / VSD
*Pulmonary embolism / DVT
*Myocardial infarction
*Vascular disease
*Pulmonary HTN
*COPD
*Pneumothorax
*Hypoperfusion
*CHF
*Methemoglobinemia
*Polycythemia
*Sulfhemoglobinemia
*Raynauds
*Administration of methylene blue
<hr>