Emergency: requires immediate attention
Decompression sickness
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Synopsis
Decompression sickness is the formation of nitrogen bubbles in body tissue and circulating blood that results from sudden decompression when a submerged person is elevated too quickly to the surface. It is seen most often in deep-sea divers and tunnel laborers.
Level 1 decompression sickness presents with joint pain, typically in the shoulders and elbows, with onset usually within an hour of surfacing and intensifying over the next 2 days. Other signs include pruritus, localized erythema, cyanosis, painful lymphadenopathy, and edema.
Level 2 decompression sickness is serious and may be life-threatening. Movement of bubbles can create severe risk of pulmonary embolism, neurologic damage, venous obstruction, increased heart pressure, and death. Symptoms include weakness, paresthesias, headache, ataxia, visual disturbance, memory loss, personality changes, dyspnea, wheezing, chest pain, and throat irritation.
Level 1 decompression sickness presents with joint pain, typically in the shoulders and elbows, with onset usually within an hour of surfacing and intensifying over the next 2 days. Other signs include pruritus, localized erythema, cyanosis, painful lymphadenopathy, and edema.
Level 2 decompression sickness is serious and may be life-threatening. Movement of bubbles can create severe risk of pulmonary embolism, neurologic damage, venous obstruction, increased heart pressure, and death. Symptoms include weakness, paresthesias, headache, ataxia, visual disturbance, memory loss, personality changes, dyspnea, wheezing, chest pain, and throat irritation.
Codes
ICD10CM:
T70.3XXA – Caisson disease [decompression sickness], initial encounter
SNOMEDCT:
89684003 – Bends
T70.3XXA – Caisson disease [decompression sickness], initial encounter
SNOMEDCT:
89684003 – Bends
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Last Reviewed:04/23/2019
Last Updated:05/12/2019
Last Updated:05/12/2019
Emergency: requires immediate attention
Decompression sickness