Rabies physical examination: Difference between revisions
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== Overview == | == Overview == | ||
Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[ | Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[tachycardia]], [[respiratory]] collapse, [[hypersalivation]], [[lacrimation]], [[sweating]], [[Pupillary dilation|dilatation of the pupils]] and [[bradycardia]]. Skin findings may include percussion myoedema, bite marks and [[bruises]]. | ||
== Physical Examination == | == Physical Examination == | ||
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=== Lungs === | === Lungs === | ||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated. | * Fine/coarse [[crackles]] upon [[auscultation]] of the [[lung]] bases/apices unilaterally/bilaterally, if [[Aspirate|aspirated]]. | ||
* [[Wheezing]] may be present due to aspiration or chest infection | * [[Wheezing]] may be present due to [[aspiration]] or [[chest]] [[infection]] | ||
* Normal/reduced [[tactile fremitus]] | * Normal/reduced [[tactile fremitus]] | ||
Revision as of 03:56, 28 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Common physical examination findings of rabies include hyperpyrexia alternating with hypothermia, tachycardia, respiratory collapse, hypersalivation, lacrimation, sweating, dilatation of the pupils and bradycardia. Skin findings may include percussion myoedema, bite marks and bruises.
Physical Examination
Vital Signs
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin
HEENT
Neck
- No abnormal findings
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated.
- Wheezing may be present due to aspiration or chest infection
- Normal/reduced tactile fremitus
Heart
Abdomen
- Guarding may be present
Genitourinary
- No abnormal findings
Neuromuscular
- Opisthotonos
- Altered mental status
- Increased tendon reflexes with extensor plantar responses
- Flaccid paralysis with generalized areflexia when patient develops coma
- Nuchal rigidity
- Increased muscle tone
- Fasciculations
Extremities
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity