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What Are The Symptoms Of Systemic Inflammatory Response Syndrome?

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Posted on Wed, 13 Aug 2014
Question: If a pt has suspected sepsis or SIRS but is dysarthric and is apparently in pain then what clinical signs of behaviour should a person look for. That is, (1) What general pain-behaviour should one look for, and (2) What type of pain-behaviour would give a clue or inclination at to the location of the pain? However, although I appreciate that people with sepsis or SIRS could have pain in various locations, is there any location that is most typically affected by pain and what signs should one look for?
doctor
Answered by Dr. Monish De (7 hours later)
Brief Answer:
Abdominal and chest pain

Detailed Answer:
Hi

Clinical signs of systemic inflammatory response syndrome or sepsis includes fever more than 38°C or less than 36°C, heart rate of more than 90 beats per minute, respiratory rate of more than 20 breaths per minute ,abrupt change in mental status, abnormal white blood cell count >12,000/µL or < 4,000/µL and decrease in platelet count.

Since it also causes decreased urine output it leads to abdominal pain.
It also causes difficulty in breathing and abnormal heart pumping function which leads to chest pain.

The chest and abdomen are the most common location of pain in case of SIRS or sepsis

Hope i have answered your query

Regards
DR De
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Monish De (2 hours later)
Thank you Dr Monish De. If a patient has chest or abdominal pain but is dysarthric then would he be likely to be holding his stomach or chest or just generally writhing around and grimacing?
doctor
Answered by Dr. Monish De (20 hours later)
Brief Answer:
holding his chest or stomach area.

Detailed Answer:
Hi

If the patient is dysarthric then he may have difficulty controlling or coordinating the muscles when he speaks.He will have a slurred or slow speech that can be difficult to understand.

That is why during chest or abdominal pain during SIRS he would be most likely holding his chest or stomach area.

Regards
DR De
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Are The Symptoms Of Systemic Inflammatory Response Syndrome?

Brief Answer: Abdominal and chest pain Detailed Answer: Hi Clinical signs of systemic inflammatory response syndrome or sepsis includes fever more than 38°C or less than 36°C, heart rate of more than 90 beats per minute, respiratory rate of more than 20 breaths per minute ,abrupt change in mental status, abnormal white blood cell count >12,000/µL or < 4,000/µL and decrease in platelet count. Since it also causes decreased urine output it leads to abdominal pain. It also causes difficulty in breathing and abnormal heart pumping function which leads to chest pain. The chest and abdomen are the most common location of pain in case of SIRS or sepsis Hope i have answered your query Regards DR De