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Complications of Steroid Use on Mt Everest

โœ Scribed by Bishnu Hari Subedi; Jhapindra Pokharel; Torrey L. Goodman; Sanuraja Amatya; Luanne Freer; Nalin Banskota; Eric Johnson; Buddha Basnyat


Book ID
104099814
Publisher
Elsevier Science
Year
2010
Tongue
English
Weight
216 KB
Volume
21
Category
Article
ISSN
1080-6032

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โœฆ Synopsis


Steroids are used for the prevention and treatment of high-altitude illnesses. However, these agents can cause significant side effects. We report a case of altered mental status, gastrointestinal bleeding, skin rash, and avascular necrosis in a climber taking prophylactic dexamethasone prior to an attempt to climb Mt Everest. High-altitude cerebral edema (HACE), steroid toxicity, and acute adrenal crisis can have similar clinical presentations. Differentiating between these life-threatening conditions at high altitude is essential for successful treatment.


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โœ Thomas F Catron; Frank L Powell; John B West ๐Ÿ“‚ Article ๐Ÿ“… 2006 ๐Ÿ› BioMed Central ๐ŸŒ English โš– 621 KB

## Abstract ## Background Climbers on the summit of Mt. Everest are exposed to extreme hypoxia, and the physiological implications are of great interest. Inferences have been made from alveolar gas samples collected on the summit, but arterial blood samples would give critical information. We prop