Diferencia entre revisiones de «High altitude pharyngitis and bronchitis»
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis after exclusion of other etiologies (e.g. infection) | *Clinical diagnosis after exclusion of other etiologies (e.g. infection) | ||
{{Expected SpO2 at altitude}} | |||
==Management== | ==Management== | ||
Revisión del 19:28 2 mar 2020
Background
Clinical Features
- Dry, hacking cough is common at >8000ft
- Purulent bronchitis/painful pharyngitis common with prolonged periods at extreme altitude
- Severe coughing spasms can result in cough fracture of ribs
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
Evaluation
- Clinical diagnosis after exclusion of other etiologies (e.g. infection)
Expected SpO2 and PaO2 levels at altitude[1]
| Altitude | SpO2 | PaO2 (mm Hg) |
|---|---|---|
| 1,500 to 3,500 m (4,900 to 11,500 ft) | about 90% | 55-75 |
| 3,500 to 5,500 m (11,500 to 18,000 ft) | 75-85% | 40-60 |
| 5,500 to 8,850 m (18,000 to 29,000 ft) | 58-75% | 28-40 |
Management
- Albuterol
- Breathing steam, sucking on hard candies, forcing hydration
- Antibiotics are NOT helpful
See Also
References
- ↑ Gallagher, MD, Scott A.; Hackett, MD, Peter (August 28, 2018). "High altitude pulmonary edema". UpToDate. Retrieved May 2, 2019.