Leptospirosis physical examination: Difference between revisions

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=== Appearance of the Patient ===
=== Appearance of the Patient ===
* Patient present with irritability and restlessness
* Patient present with [[irritability]] and [[restlessness]].


=== Vital Signs ===
=== Vital Signs ===
* Hypotension and circulatory collapse
* [[Hypotension]] and circulatory collapse.
* Increased respiratory rate
* [[Tachypnea]]
* Tachycardia
* [[Tachycardia]]


=== Skin ===
=== Skin ===
* Macular, maculopapular erythematous skin eruptions are seen in the face and trunk
* [[Macular]], [[maculopapular]] [[erythematous]] skin eruptions are seen in the [[face]] and [[trunk]].
* Purpura due to thrombocytopenia
* [[Purpura]] due to [[thrombocytopenia]].


=== HEENT ===
=== HEENT ===
* Icteric sclera is seen in patients with icteric leptospirosis
* Icteric [[sclera]] is seen in patients with icteric leptospirosis
* Conjunctival suffusion: a charecterestic finding seen in patients with anicteric leptosirosis. Usually bilaeral and involving palpebral conjunctiva.  
* Conjunctival suffusion: a charecterestic finding seen in patients with anicteric leptosirosis. Usually bilaeral and involving palpebral [[conjunctiva]].  
* Conjunctival hemorrahges: may be unilateral or bilateral.
* Conjunctival hemorrhages: may be unilateral or bilateral.


=== Neck ===
=== Neck ===


=== Lungs ===
=== Lungs ===
* Crepitations common in basal regions
* [[Crepitations]] common in basal regions


=== Heart ===
=== Heart ===


=== Abdomen ===
=== Abdomen ===
* Right upper quadrant tenderness
* [[Right upper quadrant]] [[Tenderness (medicine)|tenderness]]


* Hepatomegaly
* [[Hepatomegaly]]


=== Genitourinary ===
=== Genitourinary ===


=== Extremities ===
=== Extremities ===
* Edema of the extremities
* [[Edema]] of the [[extremities]]
* cold clammy extremities
* [[Cool extremities|cold clammy extremities]]


=== Neuromuscular ===
=== Neuromuscular ===
Signs of meningitis such as neck stiffness, nuchal rigidity are present.
Signs of [[meningitis]] such as [[neck stiffness]], [[nuchal rigidity]] are present.


Other signs include:
Other signs include:
* Nystagmus
* [[Nystagmus]]
* Spasticity
* [[Spasticity]]


==References==
==References==

Revision as of 02:49, 8 March 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]

Overview

Physical Examination Findings

Appearance of the Patient

Vital Signs

Skin

HEENT

  • Icteric sclera is seen in patients with icteric leptospirosis
  • Conjunctival suffusion: a charecterestic finding seen in patients with anicteric leptosirosis. Usually bilaeral and involving palpebral conjunctiva.
  • Conjunctival hemorrhages: may be unilateral or bilateral.

Neck

Lungs

Heart

Abdomen

Genitourinary

Extremities

Neuromuscular

Signs of meningitis such as neck stiffness, nuchal rigidity are present.

Other signs include:

References