COVID-19 physical examination: Difference between revisions

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Revision as of 03:11, 29 March 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]

Overview

The pathognomonic physical examination findings in patients infected with coronavirus include fever, flu-like-symptoms, cough, and body aches. General appearance of the patient infected with coronavirus depends on the incubation period of the illness.

Physical Examination

The pathognomonic physical examination findings in patients infected with coronavirus include fever, flu-like-symptoms, cough, and body aches.

Appearance of the Patient

General appearance of the patient infected with coronavirus depends on the incubation period of the illness.
Patients can appear healthy in the initial days of the contraction of the disease.
Patients will appear sick, lethargic, and short of breath in the later stages of the disease.

Vital Signs

High fever (100.4°F )^[1]

Skin

Skin examination of patients with coronavirus infection is usually normal.

HEENT

HEENT examination of patients infected with coronavirus is usually normal.

Neck

Neck examination of patients infected with coronavirus is usually normal.

Lungs

Coronavirus infection mimics the pulmonary examination findings of pneumonia, such as:
- Increased respiratory rate^[2]
- Percussion dullness
- Bronchial or decreased breath sounds

Heart

Tachycardia

Abdomen

Abdominal examination of patients infected with coronavirus is usually normal.
MERS-CoV infection, during the 2012 outbreak, was characterized by mild abdominal tenderness in some cases.^[3]

Back

Back examination of patients infected with coronavirus is usually normal.

Genitourinary

Genitourinary examination of patients infected with coronavirus is usually normal.

Neuromuscular

Neuromuscular examination of patients infected with coronavirus is usually normal.

Extremities

Extremities examination of patients infected with coronavirus is usually normal.

References

↑ (PDF) https://www.cdc.gov/sars/about/fs-SARS.pdf. Missing or empty |title= (help)
↑ de Jongh TO, Thiadens HA (2011). "[Physical examination of the lungs in suspected pneumonia]". Ned Tijdschr Geneeskd (in Dutch; Flemish). 155: A2656. PMID 21329538.
↑ https://www.cdc.gov/coronavirus/mers/about/symptoms.html. Missing or empty |title= (help)

[1] (PDF) https://www.cdc.gov/sars/about/fs-SARS.pdf. Missing or empty |title= (help)

[pmid21329538-2] Jongh TO, Thiadens HA (2011). "[Physical examination of the lungs in suspected pneumonia]". Ned Tijdschr Geneeskd (in Dutch; Flemish). 155: A2656. PMID 21329538.

[3] ttps://www.cdc.gov/coronavirus/mers/about/symptoms.html. Missing or empty |title= (help)

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
+__NOTOC__
+{{COVID-19}}
+{{CMG}}; {{AE}} {{HK}}
+==Overview==
+The [[pathognomonic]] [[physical examination]] findings in [[Patient|patients]] [[Infection|infected]] with coronavirus include [[fever]], [[Flu|flu-like-symptoms]], [[cough]], and [[body aches]]. General appearance of the [[patient]] [[Infection|infected]] with coronavirus depends on the [[incubation period]] of the [[illness]].
+==Physical Examination==
+The [[pathognomonic]] [[physical examination]] findings in [[Patient|patients]] [[Infection|infected]] with coronavirus include [[fever]], [[Flu|flu-like-symptoms]], [[cough]], and [[body aches]].
+===Appearance of the Patient===
+* General appearance of the [[patient]] [[Infection|infected]] with coronavirus depends on the [[incubation period]] of the [[illness]].
+*[[Patient|Patients]] can appear healthy in the initial days of the contraction of the [[disease]].
+*[[Patient|Patients]] will appear [[Illness|sick]], [[lethargic]], and [[Dyspnea|short of breath]] in the later stages of the [[disease]].
+=== Vital Signs ===
+*[[High fever]] (100.4°F )<ref>{{Cite web|url=https://www.cdc.gov/sars/about/fs-SARS.pdf|title=|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>
+===Skin===
+*[[Skin]] [[Physical examination|examination]] of [[Patient|patients]] with coronavirus [[infection]] is usually normal.
+===HEENT===
+* HEENT [[Physical examination|examination]] of [[patients]] [[Infection|infected]] with coronavirus is usually normal.
+===Neck===
+*[[Neck]] [[Physical examination|examination]] of [[Patient|patients]] [[Infection|infected]] with coronavirus is usually normal.
+===Lungs===
+* Coronavirus [[infection]] mimics the [[pulmonary examination]] findings of [[pneumonia]], such as:
+** Increased [[respiratory rate]]<ref name="pmid21329538">{{cite journal |vauthors=de Jongh TO, Thiadens HA |title=[Physical examination of the lungs in suspected pneumonia] |language=Dutch; Flemish |journal=Ned Tijdschr Geneeskd |volume=155 |issue= |pages=A2656 |date=2011 |pmid=21329538 |doi= |url=}}</ref>
+**[[Percussion of the lungs|Percussion dullness]]
+** Bronchial or decreased [[breath sounds]]
+===Heart===
+* [[Tachycardia]]
+*
+===Abdomen===
+*[[Abdominal examination]] of [[Patient|patients]] infected with coronavirus is usually normal.
+*[[Middle East respiratory syndrome coronavirus infection causes|MERS-CoV infection]], during the 2012 outbreak, was characterized by mild [[abdominal tenderness]] in some cases.<ref>{{Cite web|url=https://www.cdc.gov/coronavirus/mers/about/symptoms.html|title=|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>
+===Back===
+* [[Human back|Back]] [[examination]] of [[Patient|patients]] [[Infection|infected]] with coronavirus is usually normal.
+===Genitourinary===
+* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] [[Infection|infected]] with coronavirus is usually normal.
+===Neuromuscular===
+* [[Neuromuscular]] [[Physical examination|examination]] of [[Patient|patients]] [[Infection|infected]] with coronavirus is usually normal.
+===Extremities===
+* [[Extremities]] [[Physical examination|examination]] of [[Patient|patients]] [[Infection|infected]] with coronavirus is usually normal.
+==References==
+{{reflist|2}}