Q fever physical examination

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

Overview

Patients with Q fever usually appear ill. Physical examination of patients with Q fever usually shows fever, pneumonia, and hepatomegaly.

Physical examination

Examination of a patient with Q fever might reveal the following signs:

Vital signs

General

  • Patient looks ill

Skin

HEENT

Lungs

  • Minimal auscultatory findings in most cases
  • Crackles especially in the lower lung fields
  • Decreased breath sounds if pleural effusion is present

Abdomen

Cardiovascular

Neurological examination

Extremities

References

  1. Ishikawa H, Maeda H, Takamatsu H, Saito Y (1979). "Systemic hyalinosis (juvenile hyaline fibromatosis). Ultrastructure of the hyaline with particular reference to the cross-banded structure". Arch. Dermatol. Res. 265 (2): 195–206. PMID 88923.
  2. Marrie TJ (1990). "Q fever - a review". Can. Vet. J. 31 (8): 555–63. PMC 1480833. PMID 17423643.
  3. Derrick EH (1983). ""Q" fever, a new fever entity: clinical features, diagnosis and laboratory investigation". Rev. Infect. Dis. 5 (4): 790–800. PMID 6622891.


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