Diphyllobothriasis physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Diphyllobothriasis}}
{{Diphyllobothriasis}}
{{CMG}} {{AE}} {{KD}} {{MMF}}
{{CMG}}; {{AE}} {{KD}}, {{MMF}}
==Overview==
==Overview==
Patients with [[diphyllobothriasis]] are usually asymptomatic but may be irritated. Physical examination of patients with [[diphyllobothriasis]] is usually remarkable for abdominal tenderness, pale conjunctiva/skin, and decreased vibration and position senses.<ref name="Medical microbiology">{{cite book | last = Baron | first = Samuel | title = Medical microbiology | publisher = University of Texas Medical Branch at Galveston | location = Galveston, Tex | year = 1996 | isbn = 0-9631172-1-1 }}</ref><ref name="pmid19136438">{{cite journal |vauthors=Scholz T, Garcia HH, Kuchta R, Wicht B |title=Update on the human broad tapeworm (genus diphyllobothrium), including clinical relevance |journal=Clin. Microbiol. Rev. |volume=22 |issue=1 |pages=146–60, Table of Contents |year=2009 |pmid=19136438 |pmc=2620636 |doi=10.1128/CMR.00033-08 |url=}}</ref><ref name="pmid2620636">{{cite journal |vauthors=Feng XF |title=[Cervical anastomosis of the stomach transposed through the esophageal bed--report of 536 cases] |language=Chinese |journal=Zhonghua Zhong Liu Za Zhi |volume=11 |issue=5 |pages=374–6 |year=1989 |pmid=2620636 |doi= |url=}}</ref>
Patients with [[diphyllobothriasis]] are usually asymptomatic but may be irritated. Physical examination of patients with [[diphyllobothriasis]] is usually remarkable for [[abdominal tenderness]], pale [[conjunctiva]]/[[skin]], and [[Subacute combined degeneration of spinal cord|decreased vibration and position senses]].<ref name="Medical microbiology">{{cite book | last = Baron | first = Samuel | title = Medical microbiology | publisher = University of Texas Medical Branch at Galveston | location = Galveston, Tex | year = 1996 | isbn = 0-9631172-1-1 }}</ref><ref name="pmid19136438">{{cite journal |vauthors=Scholz T, Garcia HH, Kuchta R, Wicht B |title=Update on the human broad tapeworm (genus diphyllobothrium), including clinical relevance |journal=Clin. Microbiol. Rev. |volume=22 |issue=1 |pages=146–60, Table of Contents |year=2009 |pmid=19136438 |pmc=2620636 |doi=10.1128/CMR.00033-08 |url=}}</ref><ref name="pmid2620636">{{cite journal |vauthors=Feng XF |title=[Cervical anastomosis of the stomach transposed through the esophageal bed--report of 536 cases] |language=Chinese |journal=Zhonghua Zhong Liu Za Zhi |volume=11 |issue=5 |pages=374–6 |year=1989 |pmid=2620636 |doi= |url=}}</ref>
==Physical Examination==
==Physical Examination==
===Appearance of the patient===
===Appearance of the patient===
Patients with [[diphyllobothriasis]] usually have a normal appearance.
Patients with [[diphyllobothriasis]] usually have a normal appearance but may appear thin.
*The patient may be fatigued and irritable.


===Vital signs===
===Vital signs===
Vital signs in patients with enterobiasis are usually normal but may have:
Vital signs in patients with [[diphyllobothriasis]] are usually normal but may have:
*Tachycardia
*[[Tachycardia]]


===Skin===
===Skin===
The patient may have:
The patients with [[diphyllobothriasis]] may have:
*Pale/Yellow skin
*[[Pallor]]
*[[Jaundice]]


===HEENT===
===HEENT===
The patient may have:
The patients with [[diphyllobothriasis]] may have:
*Pale conjunctiva  
*Pale [[conjunctiva]]
*[[Yellow sclera]] as the result of biliary tract involvement.
*[[Yellow sclera]] (as the result of biliary tract involvement)
 
===Heart===
*Normal heart sounds
*No murmurs, gallops or rubs


===Abdomen===
===Abdomen===
The Patient may have:
The patients with [[diphyllobothriasis]] may have:
*[[Abdominal tenderness]]
*[[Abdominal tenderness]]


===Neurological===
===Neurological===
The patient may have:
The patients with [[diphyllobothriasis]] may have:
*Decreased position and vibration sense on the extremities resulting from vitamin B12 deficiency
*Decreased [[Subacute combined degeneration of spinal cord|position and vibration sense]] on the extremities resulting from [[vitamin B12 deficiency]]


==References==
==References==


{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


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[[Category:Disease]]
[[Category: Foodborne illnesses]]
[[Category:Foodborne illnesses]]
[[Category:Needs overview]]
[[Category:Emergency medicine]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
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[[Category:Gastroenterology]]
 
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Latest revision as of 21:24, 29 July 2020

Diphyllobothriasis Microchapters

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2], Furqan M M. M.B.B.S[3]

Overview

Patients with diphyllobothriasis are usually asymptomatic but may be irritated. Physical examination of patients with diphyllobothriasis is usually remarkable for abdominal tenderness, pale conjunctiva/skin, and decreased vibration and position senses.[1][2][3]

Physical Examination

Appearance of the patient

Patients with diphyllobothriasis usually have a normal appearance but may appear thin.

Vital signs

Vital signs in patients with diphyllobothriasis are usually normal but may have:

Skin

The patients with diphyllobothriasis may have:

HEENT

The patients with diphyllobothriasis may have:

Abdomen

The patients with diphyllobothriasis may have:

Neurological

The patients with diphyllobothriasis may have:

References

  1. Baron, Samuel (1996). Medical microbiology. Galveston, Tex: University of Texas Medical Branch at Galveston. ISBN 0-9631172-1-1.
  2. Scholz T, Garcia HH, Kuchta R, Wicht B (2009). "Update on the human broad tapeworm (genus diphyllobothrium), including clinical relevance". Clin. Microbiol. Rev. 22 (1): 146–60, Table of Contents. doi:10.1128/CMR.00033-08. PMC 2620636. PMID 19136438.
  3. Feng XF (1989). "[Cervical anastomosis of the stomach transposed through the esophageal bed--report of 536 cases]". Zhonghua Zhong Liu Za Zhi (in Chinese). 11 (5): 374–6. PMID 2620636.

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