Viral encephalitis physical examination: Difference between revisions

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{{Encephalitis}}
{{Encephalitis}}
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]
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==Physical examination==
==Physical examination==
===Focal===
===Appearance===
Focal neurological signs are found commonly in patients with Herpes simplex encephalitis. Common findings in encephalitis are:
* Focal seizures
* Cranial nerve palsy
* Dysphagia (Rabies)
===Diffuse===
* Altered sensorium
* Altered sensorium
* Personality changes
* Personality changes
* Autonomic dysfunction
===Skin===
* Hemiparesis
* Herpetic skin lesions
===Head===
* Bulging fontanelles
===Eyes===
* [[Jaundice]] in Herpes simplex encephalitis
* [[Keratoconjunctivitis]
===Throat===
* Herpetic lesions in tongue and [[buccal mucosa]] (mouth ulcers)
===Abdomen===
* [[Hepatomegaly]]
===Neurologic===
Focal neurological signs are found commonly in patients with Herpes simplex encephalitis. Common findings in encephalitis are:
* [[Cranial nerve palsy]]
* [[Autonomic dysfunction]]
* [[Hemiparesis]
* Meningismus
* Meningismus
* Dystonia
* [[Dystonia]]
* Ataxia
* [[Ataxia]]
* Abnormal reflexes
* Abnormal [[reflexes]]
===Herpes simplex encephalitis===
It is commonly seen in neonates and physical examination may include:
====General physical examination====
* Decreased consciousness, irritability
* Bulging fontanelles
* Jaundice
* Keratoconjunctivitis
* Herpetic skin lesions
* Shock
====Gastrointestinal====
* Herpetic lesions in tongue and buccal mucosa (mouth ulcers)
* Hepatomegaly
====Neurological====
* Seizures


==See also==
==References==
{{Reflist|2}}
[[Category:Neurological disorders]]
[[Category:Neurological disorders]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]

Revision as of 20:00, 5 December 2012

Template:Encephalitis Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]

Overview

Encephalitis is an acute inflammation of the brain, commonly caused by a viral infection. It may present as focal or diffuse neurological manifestations. The signs may include altered mental status, change in personality, meningismus, ataxia, seizures, and cranial nerve involvement. Stiff neck, due to the irritation of the meninges covering the brain, indicates that the patient has either meningitis or meningeoncephalitis.

Physical examination

Appearance

  • Altered sensorium
  • Personality changes

Skin

  • Herpetic skin lesions

Head

  • Bulging fontanelles

Eyes

  • Jaundice in Herpes simplex encephalitis
  • [[Keratoconjunctivitis]

Throat

Abdomen

Neurologic

Focal neurological signs are found commonly in patients with Herpes simplex encephalitis. Common findings in encephalitis are:

References

Template:WikiDoc Sources