Paracoccidioidomycosis physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Patients with [[Acute (medical)|acute]] paracoccidioidomycosis usually | Patients with [[Acute (medical)|acute]] paracoccidioidomycosis usually appear ill. Chronic PCM patients can appear healthy at early stages. Physical examination of patients with juvenile PCM is usually remarkable for [[lymphadenopathy]] and [[hepatosplenomegaly]]. Adult PCM is characterized by the presence of pulmonary abnormalities and skin lesions.<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref> | ||
==Physical Examination Acute/Subacute/Juvenile== | ==Physical Examination Acute/Subacute/Juvenile== | ||
| Line 25: | Line 25: | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
*[[Splenomegaly]] | *[[Splenomegaly]] | ||
*[[Abdominal | *[[Abdominal tenderness]] | ||
*[[Lymphadenopathy]] | *[[Lymphadenopathy]] | ||
===Genitourinary=== | ===Genitourinary=== | ||
*[[Lymphadenopathy]] (inguinal) | *[[Lymphadenopathy]] (inguinal) | ||
=== Extremities === | |||
* [[Osteoarticular pain]] | |||
==Physical Examination Chronic/Adult== | ==Physical Examination Chronic/Adult== | ||
| Line 37: | Line 40: | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Fever]] | *[[Fever]] | ||
*[[Tachypnea]] | |||
*[[Hypoxemia]] | |||
===Skin=== | ===Skin=== | ||
| Line 42: | Line 47: | ||
*[[Skin lesions|Cutaneous lesions]] | *[[Skin lesions|Cutaneous lesions]] | ||
===HEENT | ===HEENT<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref>=== | ||
*[[Skin lesions|Cutaneous lesions]]: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx) | |||
===Neck=== | ===Neck=== | ||
| Line 50: | Line 55: | ||
===Lungs=== | ===Lungs=== | ||
*Velcro [[crackles]] | *Velcro [[crackles]] | ||
**Suggestive of [[fibrosis]] | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal | *[[Abdominal tenderness]] | ||
*[[Lymphadenopathy]] | *[[Lymphadenopathy]] | ||
===Genitourinary=== | ===Genitourinary<ref name="g">Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. ''Arch. Argent. Dermatol. ''2015;65(2):54-56</ref><ref name="pmid10742725">{{cite journal| author=Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT| title=Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature. | journal=Rev Inst Med Trop Sao Paulo | year= 2000 | volume= 42 | issue= 1 | pages= 38-40 | pmid=10742725 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10742725 }} </ref>=== | ||
*[[Lymphadenopathy]] (inguinal) | *[[Lymphadenopathy]] (inguinal) | ||
*[[Scrotal swelling]] | *[[Scrotal swelling]] | ||
*Testicle tumor | **May be present in Genital PCM | ||
*Penile ulcers | *Testicle tumor | ||
**May be present in Genital PCM | |||
*Penile ulcers | |||
**May be present in Genital PCM | |||
===Extremities=== | ===Extremities=== | ||
| Line 66: | Line 75: | ||
*Osteoarticular tumefaction | *Osteoarticular tumefaction | ||
===Neuromuscular=== | ===Neuromuscular<ref name="h">Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. ''Rev Soc Bras Med Trop.''2011;44(1):22-25</ref>=== | ||
*Muscle weakness | *Muscle weakness | ||
*Positive [[Romberg's test]]: in neuroparacoccidioidomycosis | *Positive [[Romberg's test]]: in neuroparacoccidioidomycosis | ||
==References== | ==References== | ||
Latest revision as of 22:13, 12 February 2016
|
Paracoccidioidomycosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Paracoccidioidomycosis physical examination On the Web |
|
American Roentgen Ray Society Images of Paracoccidioidomycosis physical examination |
|
Risk calculators and risk factors for Paracoccidioidomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
Patients with acute paracoccidioidomycosis usually appear ill. Chronic PCM patients can appear healthy at early stages. Physical examination of patients with juvenile PCM is usually remarkable for lymphadenopathy and hepatosplenomegaly. Adult PCM is characterized by the presence of pulmonary abnormalities and skin lesions.[1]
Physical Examination Acute/Subacute/Juvenile
Appearance of the Patient
Vital Signs
Skin
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Abdomen
Genitourinary
- Lymphadenopathy (inguinal)
Extremities
Physical Examination Chronic/Adult
Appearance of the Patient
Vital Signs
Skin
HEENT[1]
- Cutaneous lesions: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx)
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Lungs
Abdomen
Genitourinary[2][3]
- Lymphadenopathy (inguinal)
- Scrotal swelling
- May be present in Genital PCM
- Testicle tumor
- May be present in Genital PCM
- Penile ulcers
- May be present in Genital PCM
Extremities
- Osteoarticular pain
- Osteoarticular tumefaction
Neuromuscular[4]
- Muscle weakness
- Positive Romberg's test: in neuroparacoccidioidomycosis
References
- ↑ 1.0 1.1 Vargas J, Vargas R. Paracoccidioidomicosis. Rev. enferm. infecc. trop. 2009;1(1):49-56
- ↑ Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. Arch. Argent. Dermatol. 2015;65(2):54-56
- ↑ Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT (2000). "Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature". Rev Inst Med Trop Sao Paulo. 42 (1): 38–40. PMID 10742725.
- ↑ Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. Rev Soc Bras Med Trop.2011;44(1):22-25