Salmonellosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2] Jolanta Marszalek, M.D. [3]
Overview
Salmonellosis is commonly associated with fever, pallor, abdominal distension and tenderness. Depending on the severity of the disease, the appearance of the patient may range from normal, able to communicate, to severely dehydrated and obtunded.
Physical Examination
Appearance of the Patient
Depending on the severity of salmonellosis, patient's appearance may range from alert and oriented, being able to communicate, to severely dehydrated, hypotensive, with sunken eyes.[1][2]
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Strength
- The pulse may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Pallor may be present
Eyes
- Mucosa may be dehydrated
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present
- An abdominal mass may be present
- Hepatosplenomegaly may be present in immunocompromised patients
Neurologic
- Mental status may be altered
- Obtundation may be present
References
- ↑ Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
- ↑ Gal-Mor O, Boyle EC, Grassl GA (2014). "Same species, different diseases: how and why typhoidal and non-typhoidal Salmonella enterica serovars differ". Front Microbiol. 5: 391. doi:10.3389/fmicb.2014.00391. PMID 25136336.