Sporotrichosis physical examination: Difference between revisions

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===Skin===
===Skin===
* Symptoms of this form include nodular lesions or bumps in the skin, at the point of entry and also along lymph nodes and vessels. The lesion starts off small and painless, and ranges in color from pink to purple. Left untreated, the lesion becomes larger and look similar to a boil and more lesions will appear, until a chronic ulcer develops.
* Initial nodular lesion at inoculation site
** Small and painless
** Pink to purple coloration
* Nodular lesion grows when left untreated
** Boil-like
** Ulceration
** Drainage
 
* Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 
* Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 


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===Lungs===
===Lungs===
* Upon physical examination, patients with pulmonary sporotrichosis will likely present with symptoms associated with their underlying chronic obstructive pulmonary disease, but will not display physical findings specific to pulmonary sporotrichosis.
===Heart===
===Heart===
*
===Abdomen===
===Abdomen===


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===Extremities===
===Extremities===
* Typically, cutaneous sporotrichosis lesions occur in the finger, hand, and arm.
* Cutaneous sporotrichosis lesions are characteristic to upper extremities
** Lesions on fingers
** Lesions on arms
** Lesions on hands


===Neuromuscular===
===Neuromuscular===

Revision as of 15:44, 26 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical examination

Appearance of the Patient

Vital Signs

Skin

  • Initial nodular lesion at inoculation site
    • Small and painless
    • Pink to purple coloration
  • Nodular lesion grows when left untreated
    • Boil-like
    • Ulceration
    • Drainage
  • Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. 

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Extremities

  • Cutaneous sporotrichosis lesions are characteristic to upper extremities
    • Lesions on fingers
    • Lesions on arms
    • Lesions on hands

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