Which is not seen in heat stroke?
Ans: b (Ppancreatitis) Ref: Davidson, 20th ed, p. 102; Harrison, 16th ed, p. 105; 17th ed, p. 118All the others are well known complications of heat stroke; pancreatitis is the answer of exclusion.Heat strokeWhen body temperature rises >40degC, provoked by the failure of heat regulating mechanisms.Clinical featuresHeadache, nausea, vomiting, coarse tremor, confusion, loss of consciousness, seizures.Types1. Non external heat stroke2. External heat strokeContributing factors; Hypovolaemic shock, lactic acidosis. DIC, rhabdomyolysis, hepatic failure, renal failure, cerebral oedemaManagementRapid cooling with ice packsFluid replacement and intravascular monitoringTreatment of complication
Alteration of Body Temperature
Rhabdomyolysis
Pancreatitis
Hypovolaemia
Seizures
Pancreatitis