Relapsing fever physical examination: Difference between revisions
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{{Relapsing fever}} | {{Relapsing fever}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
The most evident finding is a moderately ill-appearing person who is mild to moderately [[dehydrated]]. [[Fever]], [[tachycardia]], and [[hepatosplenomegaly]] are common physical examination findings. Less frequently, [[lymphadenopathy]], [[jaundice]], [[abdominal tenderness]], [[Rales|pulmonary rales]], [[skin rash]], [[meningismus]], [[delirium]], [[aphasia]], [[hemiplegia]], [[facial paralysis]], or other [[neurologic]] findings may be present. | |||
==Physical Examination== | |||
*The most evident finding is a moderately ill-appearing person who is mild to moderately [[dehydrated]]. [[Fever]], [[tachycardia]], and [[hepatosplenomegaly]] are common physical examination findings. | |||
*Less frequently, [[lymphadenopathy]], [[jaundice]], [[abdominal tenderness]], [[Rales|pulmonary rales]], [[skin rash]], [[chest pain]], [[photophobia]] (fear of light),[[meningismus]], [[delirium]], [[aphasia]], [[hemiplegia]], [[facial paralysis]], or other [[neurologic]] findings may be present. | |||
====Skin==== | ====Skin==== | ||
Often there is accompanying yellowing of the skin or [[jaundice]]. | Often there is accompanying yellowing of the skin or [[jaundice]]. | ||
The skin exam can reveal a nonspecific [[rash]]. The [[rash]] may appear [[macular]], [[Papule|papular]], or [[petechial]], and usually begins as the symptoms of the primary [[attack]] resolve. | |||
====Eyes==== | ====Eyes==== | ||
Often there is [[conjunctivitis]] (red eyes) and sclarae | Often there is [[conjunctivitis]] (red eyes) and [[icteric]] [[sclarae]](yellowing of the white part of the eyes).<ref>http://www.cdc.gov/ncidod/dvbid/RelapsingFever/RF_Symptoms.htm | ||
</ref> | </ref> | ||
====Lungs==== | |||
[[Rales|Pulmonary rales]]( less frequently) | |||
====Abdomen==== | |||
[[Abdominal tenderness]]( less frequently) | |||
====Neurologic==== | |||
*[[Meningismus]]( less frequently) | |||
*[[Delirium]]( less frequently) | |||
*[[Aphasia]]( less frequently) | |||
*[[Hemiplegia]]( less frequently) | |||
*[[Facial paralysis]] or other neurologic findings may be present. ( less frequently) | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Bacterial diseases]] | |||
[[Category:Zoonoses]] | |||
[[Category:Infectious diseases]] | |||
Latest revision as of 01:03, 25 September 2020
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Relapsing fever Microchapters |
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Relapsing fever physical examination On the Web |
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Risk calculators and risk factors for Relapsing fever physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most evident finding is a moderately ill-appearing person who is mild to moderately dehydrated. Fever, tachycardia, and hepatosplenomegaly are common physical examination findings. Less frequently, lymphadenopathy, jaundice, abdominal tenderness, pulmonary rales, skin rash, meningismus, delirium, aphasia, hemiplegia, facial paralysis, or other neurologic findings may be present.
Physical Examination
- The most evident finding is a moderately ill-appearing person who is mild to moderately dehydrated. Fever, tachycardia, and hepatosplenomegaly are common physical examination findings.
- Less frequently, lymphadenopathy, jaundice, abdominal tenderness, pulmonary rales, skin rash, chest pain, photophobia (fear of light),meningismus, delirium, aphasia, hemiplegia, facial paralysis, or other neurologic findings may be present.
Skin
Often there is accompanying yellowing of the skin or jaundice. The skin exam can reveal a nonspecific rash. The rash may appear macular, papular, or petechial, and usually begins as the symptoms of the primary attack resolve.
Eyes
Often there is conjunctivitis (red eyes) and icteric sclarae(yellowing of the white part of the eyes).[1]
Lungs
Pulmonary rales( less frequently)
Abdomen
Abdominal tenderness( less frequently)
Neurologic
- Meningismus( less frequently)
- Delirium( less frequently)
- Aphasia( less frequently)
- Hemiplegia( less frequently)
- Facial paralysis or other neurologic findings may be present. ( less frequently)