Heat cramps
Revisión del 05:07 27 jul 2016 de Neil.m.young (discusión | contribs.) (Text replacement - "==Diagnosis==" to "==Evaluation==")
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
- Pain is difficult to treat
- Often does not respond to opiates alone
- Mild symptoms: sports drinks
- Severe symptoms: IV normal saline
Disposition
- Usually outpatient