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Radiation Sickness

Archana Kudrimoti, MPH, MBBS, MD and Jennifer Courtier, MD Reviewed 06/2021
 


BASICS

Radiation sickness, or acute radiation syndrome (ARS), is defined as an acute illness caused by radiation of most or all of the body with a relatively high dose of radiation over a short period...

DIAGNOSIS

Strong index of suspicion and knowledge of radiation event 

HISTORY

  • Exposure to known source of radiation

    • Damaged radioisotope-containing medical equipment

    • Industrial sources

    • Nuclear power plant

    • R...

TREATMENT

  • High-quality, randomized, controlled studies of therapeutic interventions for ARS are not available. Guidelines for treatment are from consensus panels based on reviews of reported incidents...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Isolation techniques for immune system injury 

Patient Monitoring

  • Daily CBC with differential: platelet, granulocyte, and lymphocyte counts

  • Stool for occult blood

  • Vit...

REFERENCES

1
Coeytaux  K, Bey  E, Christensen  D, et al. Reported radiation overexposure accidents worldwide, 1980–2013: a systematic review. PLoS One.  2015;10(3):e0118709...

CODES

ICD10

T66.XXXA Radiation sickness, unspecified, initial encounter 

SNOMED

  • 370402009 Radiation sickness (disorder)

  • 360002 Acute radiation disease (disorder)

CLINICAL PEARLS

  • Radiation interactions with atoms can result in ionization and the formation of free radicals that damage tissue by disrupting chemical bonds and molecular structures in the cell, incl...

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