Heat cramps: Difference between revisions
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==Management== | ==Management== | ||
*Self-limited | *Self-limited | ||
*Pain is difficult to treat | *[[analgesia|Pain]] is difficult to treat | ||
**Often does not respond to opioids alone | **Often does not respond to [[opioids]] alone | ||
*Hydration | *Hydration | ||
**Mild symptoms: sports drinks | **Mild symptoms: sports drinks | ||
**Severe symptoms: IV normal saline | **Severe symptoms: IV [[normal saline]] | ||
==Disposition== | ==Disposition== | ||
Revision as of 18:58, 28 September 2019
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 opioids alone
- Hydration
- Mild symptoms: sports drinks
- Severe symptoms: IV normal saline
Disposition
- Usually outpatient