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Methemoglobinemia physical examination

Introduction

Overview

Overview

Patients with methemoglobinemia usually present with gray or bluish skin discoloraion. Physical examination of patients with methemoglobinemia is usually remarkable for headache, tachycardia, dyspnea and lightheadedness.

Physical Examination

Physical Examination

Appearance of the Patient Methemoglobinemia patients can present with different shades of bluish skin color, depending on the levels of MetHb in the blood. [1]

Vital Signs

General Physical Examination

  • Blue-colored skin, lips, and nail beds
  • Cyanosis
References

References

  1. ↑ Chung NY, Batra R, Itzkevitch M, Boruchov D, Baldauf M (2010). “Severe methemoglobinemia linked to gel-type topical benzocaine use: a case report”. J Emerg Med. 38 (5): 601–6. doi:10.1016/j.jemermed.2008.06.025. PMIDΒ 19097728.
  2. ↑ Orlandi M, Amadi MA, Goldaracena PX, PΓ©reza FE (2018). “[Cyanosis in 14-year-old patient. Methemoglobinemia: case report]”. Arch Argent Pediatr. 116 (3): e429–e432. doi:10.5546/aap.2018.e429. PMIDΒ 29756717.
  3. ↑ Cho YS, Chung BY, Park CW, Kim HO (2016). “Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis”. Pediatr Dermatol. 33 (5): e284–5. doi:10.1111/pde.12927. PMIDΒ 27397059.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2]; Associate Editor(s)-in-Chief: Aksiniya Stevasarova, M.D.