Strongyloidiasis physical examination: Difference between revisions

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{{CMG}} ; {{AE}} {{ADG}}
{{CMG}} ; {{AE}} {{ADG}}
==Overview==
==Overview==
The physical examination findings in [[strongyloidiasis]] vary and it is usually dependent on the worm burden and the involved organ.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref>
The physical examination findings in [[strongyloidiasis]] vary and are usually dependent on the worm burden and the involved organ.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref>


==Physical examination==
==Physical examination==
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Most patients generally appear well with minimal or no symptoms on physical examination.
Most patients generally appear well with minimal or no symptoms on physical examination.
===Vital signs===
===Vital signs===
Fever may be seen in [[strongyloidiasis]].
Fever may be observed in [[strongyloidiasis]].
*Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]]
*Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]]
*High grade [[fever]]
*High-grade [[fever]]
**In complications such as [[cholangitis|acute cholangitis]] and [[Hepatic abscess]]
**Present in complications such as [[cholangitis|acute cholangitis]] and [[hepatic abscess]]


===HEENT===
===HEENT===
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===Chest===
===Chest===
[[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[löffler's syndrome]]) may occur in severe cases with the patient presenting with the following physical examination findings:
[[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[Löffler's syndrome]]) may occur in severe cases with the patient presenting with the following physical examination findings:
* [[Dyspnea]]
* [[Dyspnea]]
* Coarse [[rales]]
* Coarse [[rales]]
* [[Wheezing]] resulting from [[bronchospasms]]
* [[Wheezing]] resulting from [[Bronchospasm|bronchospasms]]


===Abdomen===
===Abdomen===
Physical examination of abdomen may reveal:
Physical examination of the abdomen may reveal:
* [[Abdominal tenderness]]
* [[Abdominal tenderness]]
**Secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], acute [[cholangitis]], [[acute cholecystitis]], [[hepatic abscess]], etc
**Secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], acute [[cholangitis]], [[acute cholecystitis]], [[hepatic abscess]], etc.
* [[Abdominal distension]]
* [[Abdominal distension]]
* Signs of acute [[bowel obstruction]]
* Signs of acute [[bowel obstruction]]


===Skin===
===Skin===
The patients with can present with [[urticaria]].
Patients may present with [[urticaria]].


==References==
==References==


{{Reflist|2}}
{{Reflist|2}}
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{{WS}}


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Latest revision as of 00:20, 30 July 2020

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

Overview

The physical examination findings in strongyloidiasis vary and are usually dependent on the worm burden and the involved organ.[1]

Physical examination

General appearance

Most patients generally appear well with minimal or no symptoms on physical examination.

Vital signs

Fever may be observed in strongyloidiasis.

HEENT

Chest

Eosinophilic pneumonia (Löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:

Abdomen

Physical examination of the abdomen may reveal:

Skin

Patients may present with urticaria.

References

  1. Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.

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