Middle East respiratory syndrome coronavirus infection physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Due to the fact that there is limited data regarding MERS-CoV patients, the available information regards mostly critically ill patients. | Due to the fact that there is limited data regarding [[MERS-CoV]] [[patients]], the available information regards mostly critically ill patients. | ||
===Vital Signs=== | ===Vital Signs=== |
Revision as of 21:20, 18 June 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Middle East Respiratory Syndrome (MERS) is a viral respiratory illness. It is caused by an emerging coronavirus, specifically a betacoronavirus called MERS-CoV (Middle East Respiratory Syndrome Coronavirus), first discovered in 2012. Being a relatively novel virus, there is no virus-specific prevention or treatment options for MERS patients. Attending to the fact that a vaccine hasn't been developed yet, enhancing infection prevention and control measures is critical to prevent the possible spread of MERS-CoV in hospitals and communities. Persons with symptoms suspicious of MERS-CoV infection need medical evaluation. Physical examination by a health care provider may reveal fever, hypothermia, tachypnea, hypotension, tachycardia, and/or low oxygen saturation. Additionally, people who are struggling to breathe, confused or who have cyanosis require immediate attention.[1][2][3]
Physical Examination
Due to the fact that there is limited data regarding MERS-CoV patients, the available information regards mostly critically ill patients.
Vital Signs
- Decreased oxygen saturation
- Fever
- Hypotension < 90 mm Hg
- Tachycardia > 125 beats/min
- Tachypnea
Lungs
Palpation
- Increased tactile fremitus suggests pneumonia as an alternative diagnosis
Percussion
- Dullness on percussion suggests pneumonia as an alternative diagnosis
Auscultation
- Decreased breath sounds
References
- ↑ Dyall J, Coleman CM, Hart BJ, Venkataraman T, Holbrook MR, Kindrachuk J; et al. (2014). "Repurposing of clinically developed drugs for treatment of Middle East Respiratory Coronavirus Infection". Antimicrob Agents Chemother. doi:10.1128/AAC.03036-14. PMID 24841273.
- ↑ "Clinical management of severe acute respiratory infections when novel coronavirus is suspected: What to do and what not to do" (PDF).
- ↑ "MERS Prevention and Treatment".