Chronic mountain sickness: Difference between revisions
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Revision as of 14:47, 22 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