Schistosomiasis physical examination: Difference between revisions

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__NOTOC__
__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>
====Appearance of the Patient====
====Appearance of the Patient====
Patients withg schistosomiasis usually appear tired.
Patients with schistosomiasis usually appear [[Fatigue|fatigued]] and exhausted.
 
====Vital Signs====
====Vital Signs====
*High-grade / low-grade fever.
*[[Fever|High-grade / low-grade fever]]
*[[Tachycardia]] with a regular pulse.
*[[Tachycardia]] with a regular pulse
*[[Tachypnea]]
*[[Tachypnea]]
*High blood pressure
*[[High blood pressure]]
====Skin====
====Skin====
*[[Pallor]]
*[[Pallor]]
*[[Urticaria]]
*[[Urticaria]]
*[[Purpuric rash]]
*[[Purpuric|Purpuric rash]]
====Neck====
====Neck====
*[[Cervical lymphadenopathy]]
*[[Lymphadenopathy|Cervical lymphadenopathy]]
*Jugular venous distension in cases of [[cor pulmanale]].
*[[Jugular venous distension]] in cases of [[Cor Pulmonale|cor pulmanale]]
====Lungs====
====Lungs====
*Normal vesicular breathe sounds.
*Normal vesicular breath sounds
*Ocassional [[wheezeing]]
*Occasional [[wheezing]]
 
====Heart====
====Heart====
*Normal S1, S2  
*Normal [[S1]], S2  
*Signs of [[right hear failure]] in cases [[cor-pulmonale]]
*Signs of [[right heart failure]] in cases [[Cor Pulmonale|cor-pulmonale]]
====Abdomen====
====Abdomen====
*[[Right upper quadrant tenderness]]
* [[Abdominal pain|Right upper quadrant tenderness]]
*[[Abdominal distention]]
*[[Abdominal distention]]
*[[Hepatosplenomegaly]]
*[[Hepatosplenomegaly]]
*[[Distended abdominal veins]]
*Distended abdominal veins
*[[Ascites]]
*[[Ascites]]
===Genitourinary===
===Genitourinary===
*[[Genital ulcers]]
*[[Genital ulcer|Genital ulcers]]
*Hypertrophic lesions or nodular lesions of the cervix, vulva, or vagina  
*[[Hypertrophic|Hypertrophic lesions]] or nodular lesions of the [[cervix]], [[vulva]], or [[vagina]]
*[[Vesicovaginal fistula]].
*[[Vesicovaginal fistula]]
*Uterine enlargement
*[[Uterine enlargement]]
*[[Pelvic pain]]
*[[Pelvic pain]]
*[[Dysuria]]
*[[Dysuria]]
===Neuromuscular===
===Neuromuscular===
*[[Joint tenderness]]
*[[Arthritis|Joint tenderness]]
*Sensory/motor abnormalities
*Sensory/motor abnormalities


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


==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.