Relapsing fever physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The most evident finding is a moderately ill-appearing person who is mild to moderately [[dehydrated]] | The most evident finding is a moderately ill-appearing person who is mild to moderately [[dehydrated]]. | ||
*Some people develop mild to moderate hepatosplenomegaly, enlarged liver, and spleen. Other potential findings on clinical exam include meningismus (stiff neck and headache with photophobia), pleuritic pain, and rub (chest pain), photophobia (fear of light). | *Some people develop mild to moderate hepatosplenomegaly, enlarged liver, and spleen. Other potential findings on clinical exam include meningismus (stiff neck and headache with photophobia), pleuritic pain, and rub (chest pain), photophobia (fear of light). | ||
Revision as of 19:42, 9 August 2020
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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.
- Some people develop mild to moderate hepatosplenomegaly, enlarged liver, and spleen. Other potential findings on clinical exam include meningismus (stiff neck and headache with photophobia), pleuritic pain, and rub (chest pain), photophobia (fear of light).
Physical Examination
The most evident finding is a moderately ill-appearing person who is mild to moderately dehydrated and tachycardic.
- Some people develop mild to moderate hepatosplenomegaly, enlarged liver, and spleen. Other potential findings on clinical exam include meningismus (stiff neck and headache with photophobia), pleuritic pain, and rub (chest pain), photophobia (fear of light).
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 sclarae icteric (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)