Secondary Causes of Hypothermia - Differential Diagnosis Framework

Definition:
- Core temp < 35°C

Infectious:
 - Sepsis

Neuromuscular Disease:
 - Impaired shivering
 - Inactivity
 - Extremes of age
 
Lack of Substrate/Fuel:
 - Malnutrition
 - Thiamine deficiency
 - Hypoglycemia
 
Impaired Central Regulation:
 - CVA
 - SAH
 - Parkinsonism
 - Hypothalamic dysfunction
 - Multiple sclerosis
 - Anorexia nervosa

Endocrine:
 - DKA
 - Adrenal insufficiency
 - Hypothyroidism
 - Hypoglycemia
 - Hypopituitarism
 - Myxedema coma

Drugs:
 - Intoxicants
 - Anxiolytics
 - Antidepressants
 - Anti manic agents
 - Antipsychotics
 - Opioids
 - Oral antihyperglycemics
 - Beta blockers
 - Alpha-adrenergic agonists
 - General anesthetics

Increased Vasodilatation:
 - Drugs
 - Alcohol
 - Toxins
 - Peripheral neuropathies
 - Spinal cord injuries
 
Skin Disorders:
 - Burn
 - Psoriasis
 - Exfoliative dermatitis
 
Other:
 - Environmental Exposure * 
 - Pancreatitis
 - Carcinomatosis
 - Uremia
 - Vascular insufficiency
 - Multi-system trauma
 - Shock

By Dr. Ravi Singh @rav7ks

#Hypothermia #Differential #Diagnosis #Secondary #Causes 
Ravi Singh K @rav7ks · 4 years ago
Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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