Schistosomiasis physical examination: Difference between revisions

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__NOTOC__
{{SI}}
{{Schistosomiasis}}
{{CMG}}; {{AE}}{{JH}}.
{{CMG}}; {{AE}}{{JH}} ; {{ADG}}
 
==Overview==
 
Common physical examination findings of schistosomiasis include generalized [[lymphadenopathy]], [[hepatosplenomegaly]], [[rash]], [[fever]], [[right upper quadrant tenderness]], [[urticaria]], [[bloody stool]].
 
==Physical examination==
==Physical examination==
Common physical examination findings of schistosomiasis include generalized lymphadenopathy, hepatosplenomegaly, rash, fever, right upper quadrant tenderness, urticaria, bloody stool.
Common physical examination findings of schistosomiasis include generalized [[lymphadenopathy]], [[hepatosplenomegaly]], [[rash]], [[fever]], [[Abdominal pain|right upper quadrant tenderness]], [[urticaria]], [[bloody stool]].<ref name="pmid19365537">{{cite journal |vauthors=Levy L, Nasereddin A, Rav-Acha M, Kedmi M, Rund D, Gatt ME |title=Prolonged fever, hepatosplenomegaly, and pancytopenia in a 46-year-old woman |journal=PLoS Med. |volume=6 |issue=4 |pages=e1000053 |year=2009 |pmid=19365537 |pmc=2661247 |doi=10.1371/journal.pmed.1000053 |url=}}</ref>
===Gallery===
====Appearance of the Patient====
Patients with schistosomiasis usually appear [[Fatigue|fatigued]] and exhausted.


====Vital Signs====
*[[Fever|High-grade / low-grade fever]]
*[[Tachycardia]] with a regular pulse
*[[Tachypnea]]
*[[High blood pressure]]
====Skin====
====Skin====
*[[Pallor]]
*[[Urticaria]]
*[[Purpuric|Purpuric rash]]
====Neck====
*[[Lymphadenopathy|Cervical lymphadenopathy]]
*[[Jugular venous distension]] in cases of [[Cor Pulmonale|cor pulmanale]]
====Lungs====
*Normal vesicular breath sounds
*Occasional [[wheezing]]


<gallery>
====Heart====
 
*Normal [[S1]], S2
Image: schistosomiasis_cutaneous_07.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
*Signs of [[right heart failure]] in cases [[Cor Pulmonale|cor-pulmonale]]
 
====Abdomen====
Image: Schistosomiasis_cutaneous_08.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
* [[Abdominal pain|Right upper quadrant tenderness]]
 
*[[Abdominal distention]]
Image: Schistosomiasis_cutaneous_09.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
*[[Hepatosplenomegaly]]
 
*Distended abdominal veins
Image: Schistosomiasis_cutaneous_10.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
*[[Ascites]]
 
Image: Schistosomiasis_cutaneous_11.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
Image: Schistosomiasis_cutaneous_12.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
</gallery>
 
=====Trunk=====
 
<gallery>
 
Image: Schistosomiasis_cutaneous_01.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
Image: Schistosomiasis_cutaneous_02.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
Image: Schistosomiasis_cutaneous_03.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
Image: Schistosomiasis_cutaneous_04.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
 
Image: Schistosomiasis_cutaneous_05.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>


Image: Schistosomiasis_cutaneous_06.jpeg| Cutaneous schistosomiasis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=417>
===Genitourinary===
*[[Genital ulcer|Genital ulcers]]
*[[Hypertrophic|Hypertrophic lesions]] or nodular lesions of the [[cervix]], [[vulva]], or [[vagina]]
*[[Vesicovaginal fistula]]
*[[Uterine enlargement]]
*[[Pelvic pain]]
*[[Dysuria]]
===Neuromuscular===
*[[Arthritis|Joint tenderness]]
*Sensory/motor abnormalities


</gallery>
===Extremities===
</gallery>
*[[Clubbing]]


==References==
==References==


{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 12:26, 23 August 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2] ; Aditya Ganti M.B.B.S. [3]

Overview

Common physical examination findings of schistosomiasis include generalized lymphadenopathy, hepatosplenomegaly, rash, fever, right upper quadrant tenderness, urticaria, bloody stool.

Physical examination

Common physical examination findings of schistosomiasis include generalized lymphadenopathy, hepatosplenomegaly, rash, fever, right upper quadrant tenderness, urticaria, bloody stool.[1]

Appearance of the Patient

Patients with schistosomiasis usually appear fatigued and exhausted.

Vital Signs

Skin

Neck

Lungs

  • Normal vesicular breath sounds
  • Occasional wheezing

Heart

Abdomen

Genitourinary

Neuromuscular

Extremities

References

  1. Levy L, Nasereddin A, Rav-Acha M, Kedmi M, Rund D, Gatt ME (2009). "Prolonged fever, hepatosplenomegaly, and pancytopenia in a 46-year-old woman". PLoS Med. 6 (4): e1000053. doi:10.1371/journal.pmed.1000053. PMC 2661247. PMID 19365537.