Salmonellosis physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===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 and unable to communicate.<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>
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 and unable to communicate.<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>
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====Temperature====
====Temperature====
*A [[fever]] is often present
*A [[fever]] is often present
====Pulse====
====Pulse====
=====Rate=====
=====Rate=====
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===Neurologic===
===Neurologic===
* Mental status may be altered
*[[Mental status]] may be altered
 
<!--
Harrison's:
 
Physical findings included coated tongue (51–56%), splenomegaly (5–6%), and abdominal tenderness (4–5%).
 
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.
-->


==References==
==References==

Revision as of 23:11, 21 August 2014

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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

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 and unable to communicate.[1]

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  • The pulse may be weak

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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.

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