Clostridium difficile infection physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{YD}} | {{CMG}}; {{AE}} {{YD}} | ||
==Overview== | ==Overview== | ||
Patients with ''C. difficile'' infection typically have low-grade [[fever]] and [[abdominal tenderness]] on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy. Significant findings on physical examination include significant derangements in [[vital signs]], including high-grade [[fever]], [[tachycardia]], or [[hypotension]], signs of [[dehydration]], [[peripheral edema]] which might be suggestive of [[hypoalbuminemia]], or worsening [[abdominal tenderness]], | Patients with ''C. difficile'' infection typically have low-grade [[fever]] and [[abdominal tenderness]] on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy. Significant findings on physical examination include significant derangements in [[vital signs]], including high-grade [[fever]], [[tachycardia]], or [[hypotension]], signs of [[dehydration]], [[peripheral edema]] which might be suggestive of [[hypoalbuminemia]], or worsening [[abdominal tenderness]], distention, palpable masses, or inactive bowel sounds, which may suggest [[toxic megacolon]], abscess development, or [[ileus]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Patients with ''C. difficile'' infection typically have low-grade fever and abdominal tenderness on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy. | Patients with ''C. difficile'' infection typically have low-grade fever and abdominal tenderness on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy. | ||
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===HEENT=== | ===HEENT=== | ||
* | *Dry mucus membranes | ||
* | *Conjunctival pallor | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Hyperactive bowel sounds]] (may be | *[[Hyperactive bowel sounds]] (may be either hypoactive or inactive if patient develops [[ileus]]) | ||
*[[Abdominal tenderness]] (diffuse or localized to one quadrant) | *[[Abdominal tenderness]] (diffuse or localized to one quadrant) | ||
*[[Abdominal mass]] on palpation may suggest | *[[Abdominal mass]] on palpation may suggest visceral or intraabdominal abscess. | ||
===Lower Extremities=== | ===Lower Extremities=== | ||
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[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
[[Category:Medical signs]] | |||
[[Category:Signs and symptoms]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:50, 29 June 2015
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C. difficile Infection Microchapters |
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Differentiating Clostridium difficile infectionfrom other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Clostridium difficile infection physical examination On the Web |
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American Roentgen Ray Society Images of Clostridium difficile infection physical examination |
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Clostridium difficile infection physical examination in the news |
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Blogs on Clostridium difficile infection physical examination |
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Risk calculators and risk factors for Clostridium difficile infection physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.
Overview
Patients with C. difficile infection typically have low-grade fever and abdominal tenderness on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy. Significant findings on physical examination include significant derangements in vital signs, including high-grade fever, tachycardia, or hypotension, signs of dehydration, peripheral edema which might be suggestive of hypoalbuminemia, or worsening abdominal tenderness, distention, palpable masses, or inactive bowel sounds, which may suggest toxic megacolon, abscess development, or ileus.
Physical Examination
Patients with C. difficile infection typically have low-grade fever and abdominal tenderness on physical examination. Additional signs on physical examination may be suggestive of worsening infection, complicated disease, or failure of antimicrobial therapy.
Vital Signs
- Fever (may be either high-grade or low-grade)
- Tachycardia
- Tachypnea
- Hypotension (in case patient is severely dehydrated)
Skin
HEENT
- Dry mucus membranes
- Conjunctival pallor
Abdomen
- Abdominal distention
- Hyperactive bowel sounds (may be either hypoactive or inactive if patient develops ileus)
- Abdominal tenderness (diffuse or localized to one quadrant)
- Abdominal mass on palpation may suggest visceral or intraabdominal abscess.
Lower Extremities
- Peripheral edema (due to hypoalbuminemia)