Chronic mountain sickness: Difference between revisions
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==Background== | ==Background== | ||
*Excessive polycythemia for a given altitude ( | *Excessive polycythemia for a given altitude (Hgb >20) | ||
*Occurs in pts living at high-altitude who have COPD, sleep apnea or impaired resp drive | *Occurs in pts living at high-altitude who have COPD, sleep apnea or impaired resp drive | ||
== | ==Clinical Features== | ||
*[[Headache]] | *[[Headache]] | ||
*Difficulty thinking | *Difficulty thinking | ||
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{{High altitude DDX}} | {{High altitude DDX}} | ||
== | ==Diagnosis== | ||
==Management== | |||
*Phlebotomy | *Phlebotomy | ||
*Relocation to lower altitude | *Relocation to lower altitude | ||
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*[[High Altitude Medicine]] | *[[High Altitude Medicine]] | ||
== | ==References== | ||
<references/> | |||
[[Category:Environ]] | [[Category:Environ]] | ||
Revision as of 06:32, 7 March 2016
Background
- Excessive polycythemia for a given altitude (Hgb >20)
- Occurs in pts living at high-altitude who have COPD, sleep apnea or impaired resp drive
Clinical Features
- Headache
- Difficulty thinking
- Impaired peripheral circulation
- Drowsiness
Differential Diagnosis
High Altitude Illnesses
- Acute mountain sickness
- Chronic mountain sickness
- High altitude cerebral edema
- High altitude pulmonary edema
- High altitude peripheral edema
- High altitude retinopathy
- High altitude pharyngitis and bronchitis
- Ultraviolet keratitis
Diagnosis
Management
- Phlebotomy
- Relocation to lower altitude
- Home O2 use