Heat cramps: Difference between revisions
(Created page with "==Background== #Painful, involuntary, spasmodic contractions of skeletal muscles ##Usually affects calves, thighs and shoulders #Occurs to pts who are sweating profusely and repl...") |
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==Background== | ==Background== | ||
*Occurs to those who sweat profusely and replace fluid losses with water | |||
**May occur during exercise, but more common during rest several hours later | |||
*Typically does not involve enough muscle mass to cause rhabdomyolysis<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339-1344</ref> | |||
== | ==Clinical Features== | ||
Tintinalli | *Painful, involuntary, spasmodic contractions of skeletal muscles<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339-1344</ref> | ||
**Usually affects calves, may involve thighs and shoulders | |||
[[Category: | ==Differential Diagnosis== | ||
{{Template:Heat Emergencies}} | |||
==Evaluation== | |||
*Clinical diagnosis | |||
==Management== | |||
*Self-limited | |||
*Provide muscle stretching and massage | |||
*[[analgesia|Pain]] is difficult to treat | |||
**Often does not respond to [[opioids]] alone | |||
*Hydration | |||
**Mild symptoms: sports drinks | |||
**Severe symptoms: IV [[normal saline]] | |||
==Disposition== | |||
*Usually outpatient | |||
==See Also== | |||
*[[Heat Emergencies]] | |||
==References== | |||
<references/> | |||
[[Category:Environmental]] | |||
Latest revision as of 16:47, 5 May 2022
Background
- Occurs to those who sweat profusely and replace fluid losses with water
- May occur during exercise, but more common during rest several hours later
- Typically does not involve enough muscle mass to cause rhabdomyolysis[1]
Clinical Features
- Painful, involuntary, spasmodic contractions of skeletal muscles[2]
- Usually affects calves, may involve thighs and shoulders
Differential Diagnosis
Environmental heat diagnoses
Evaluation
- Clinical diagnosis
Management
- Self-limited
- Provide muscle stretching and massage
- Pain is difficult to treat
- Often does not respond to opioids alone
- Hydration
- Mild symptoms: sports drinks
- Severe symptoms: IV normal saline
Disposition
- Usually outpatient