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Poor Skin Turgor

List of authors.
  • Oscar M. Aguilar, M.D.,
  • and Mariano Albertal, M.D.

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Figure 1. A 74-year-old man was found unconscious at home and brought to the emergency department. He was obtunded and moved only with painful stimuli. His blood pressure was 95/55 mm Hg, with a heart rate of 115 beats per minute and a temperature of 35.8°C. His mucous membranes were dry, and his skin turgor was markedly decreased. Volume status was evaluated by squeezing the skin of the patient's abdomen (Panel A) and assessing the response 15 seconds (Panel B) and 40 seconds (Panel C) after the pressure was released. The following values were recorded on admission: serum sodium, 186 . . .

Oscar M. Aguilar, M.D.
Mariano Albertal, M.D.
University of Kansas Medical Center, Kansas City, KS 66103

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