Salmonellosis physical examination: Difference between revisions

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{{Salmonellosis}}
{{Salmonellosis}}
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==Overview==
==Overview==
Salmonellosis is commonly associated with [[fever]], [[pallor]], [[abdominal distension]] and [[abdominal tenderness|tenderness]]. Depending on the severity of the disease, the appearance of the patient may range from normal, able to communicate, to severely [[dehydrated]] and [[obtundation|obtunded]].


==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
Depending on the severity of salmonellosis, patient's appearance may range from alert and oriented, being able to communicate, to severely [[dehydrated]], [[hypotensive]], with sunken eyes.<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426  }} </ref><ref name="pmid25136336">{{cite journal| author=Gal-Mor O, Boyle EC, Grassl GA| title=Same species, different diseases: how and why typhoidal and non-typhoidal Salmonella enterica serovars differ. | journal=Front Microbiol | year= 2014 | volume= 5 | issue=  | pages= 391 | pmid=25136336 | doi=10.3389/fmicb.2014.00391 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25136336  }} </ref>


<!--
===Vitals===
Harrison's:
====Temperature====
*A [[fever]] is often present
====Pulse====
=====Rate=====
*[[Tachycardia]] may be present
=====Strength=====
*The pulse may be weak
====Blood Pressure====
*[[Hypotension]] may be present
====Respiratory Rate====
*[[Tachypnea]] may be present


Physical findings included coated tongue (51–56%), splenomegaly (5–6%), and abdominal tenderness (4–5%).
===Skin===
*[[Pallor]] may be present


Early physical findings of enteric fever include rash ("rose spots"; 30%), hepatosplenomegaly (3–6%), epistaxis, and relative bradycardia at the peak of high fever (<50%). Rose spots (Fig. 153-2; see also Fig. e7-9) make up a faint, salmon-colored, blanching, maculopapular rash located primarily on the trunk and chest. The rash is evident in 30% of patients at the end of the first week and resolves without a trace after 2–5 days. Patients can have two or three crops of lesions, and Salmonella can be cultured from punch biopsies of these lesions. The faintness of the rash makes it difficult to detect in highly pigmented patients.
===Eyes===
-->
*[[Mucosa]] may be dehydrated
 
===Abdomen===
*[[Abdominal distention]] may be present
*[[Abdominal tenderness]] may be present
*An [[abdominal mass]] may be present
*[[Hepatosplenomegaly]] may be present in immunocompromised patients
 
===Neurologic===
*[[Mental status]] may be altered
*[[Obtundation]] may be present


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]
 
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[[Category:Intensive care medicine]]
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Latest revision as of 18:41, 18 September 2017

Salmonellosis Microchapters

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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] Jolanta Marszalek, M.D. [3]

Overview

Salmonellosis is commonly associated with fever, pallor, abdominal distension and tenderness. Depending on the severity of the disease, the appearance of the patient may range from normal, able to communicate, to severely dehydrated and obtunded.

Physical Examination

Appearance of the Patient

Depending on the severity of salmonellosis, patient's appearance may range from alert and oriented, being able to communicate, to severely dehydrated, hypotensive, with sunken eyes.[1][2]

Vitals

Temperature

Pulse

Rate
Strength
  • The pulse may be weak

Blood Pressure

Respiratory Rate

Skin

Eyes

Abdomen

Neurologic

References

  1. Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
  2. Gal-Mor O, Boyle EC, Grassl GA (2014). "Same species, different diseases: how and why typhoidal and non-typhoidal Salmonella enterica serovars differ". Front Microbiol. 5: 391. doi:10.3389/fmicb.2014.00391. PMID 25136336.

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