Anthrax 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]

Overview

Physical Examination

Appearance of the Patient

The appearance of the patients and physical exam will depend on the type of anthrax present in that patient.

Vitals

Temperature

Cutaneous Anthrax
Gastrointestinal Anthrax

Pulse

Rate
Cutaneous Anthrax
Gastrointestinal Anthrax
Inhalation or Pulmonary Anthrax
Injection Anthrax

Blood Pressure

Cutaneous Anthrax
Gastrointestinal Anthrax

Respiratory Rate

Gastrointestinal Anthrax
  • Bradypnea may be present in more severe cases

Skin

Cutaneous Anthrax

Gastrointestinal Anthrax

  • Edema may be present, particularly in the neck region
  • Pallor may be present in cases of systemic anthrax with shock

Throat

Gastrointestinal Anthrax

  • The throat may be erythematous if lesion located on oropharyngeal mucosa
  • Exudate may be present if lesion located on oropharyngeal mucosa
  • Tonsillar inflammation may be present if lesion located on oropharyngeal mucosa


Neck

Cutaneous Anthrax
  • Lymph nodes may be present, particularly if initial lesion is located in that region
Gastrointestinal Anthrax

Abdomen

Cutaneous Anthrax

Extremities

Cutaneous Anthrax
  • Edema may be present, particularly around the initial lesion

Neurologic

References