Chagas disease physical examination: Difference between revisions

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Revision as of 21:54, 22 April 2013

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

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Overview

Patients with Chagas disease often present with swelling of the eyelids near the bite wound, enlarged lymph nodes, hepatosplenomegaly, and cardiomegaly.

Physical Examination

Vitals

Skin

The most recognized marker of acute Chagas disease is called Romaña's sign, which includes swelling of the eyelids on the side of the face near the bite wound or where the bug feces were deposited or accidentally rubbed into the eye.

This child from Panama is suffering from Chagas' disease manifested as an acute infection with swelling of the right eye (Romaña's sign). Source: CDC.

HEENT

Enlarged lymph nodes

Cardiac

Cardiomegaly

Abdomen

Enlarged liver and spleen

References

Template:WH Template:WS

@@ Line 6: / Line 6: @@
 ==Overview==
-The most recognized marker of acute Chagas disease is called Romaña's sign, which includes swelling of the eyelids on the side of the face near the bite wound or where the bug feces were deposited or accidentally rubbed into the eye.
+Patients with Chagas disease often present with swelling of the eyelids near the bite wound, enlarged lymph nodes, hepatosplenomegaly, and [[cardiomegaly]].
-[[Image:Chagoma.jpg|thumb|centre|This child from Panama is suffering from Chagas' disease manifested as an acute infection with swelling of the right eye (Romaña's sign). Source: CDC.]]
 ==Physical Examination==
@@ Line 13: / Line 12: @@
 *[[Irregular heartbeat]] ([[arrhythmia]])
 *[[Rapid heartbeat]] ([[tachycardia]])
+===Skin===
+The most recognized marker of acute Chagas disease is called Romaña's sign, which includes swelling of the eyelids on the side of the face near the bite wound or where the bug feces were deposited or accidentally rubbed into the eye.
+[[Image:Chagoma.jpg|thumb|centre|This child from Panama is suffering from Chagas' disease manifested as an acute infection with swelling of the right eye (Romaña's sign). Source: CDC.]]
 ===HEENT===