Schistosomiasis physical examination: Difference between revisions
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{{Schistosomiasis}} | {{Schistosomiasis}} | ||
{{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== | |||
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==== | |||
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==== | |||
*[[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]] | |||
====Heart==== | |||
*Normal [[S1]], S2 | |||
*Signs of [[right heart failure]] in cases [[Cor Pulmonale|cor-pulmonale]] | |||
====Abdomen==== | |||
* [[Abdominal pain|Right upper quadrant tenderness]] | |||
*[[Abdominal distention]] | |||
*[[Hepatosplenomegaly]] | |||
*Distended abdominal veins | |||
*[[Ascites]] | |||
===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 | |||
===Extremities=== | |||
*[[Clubbing]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 12:26, 23 August 2017
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Schistosomiasis physical examination On the Web |
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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
- High-grade / low-grade fever
- Tachycardia with a regular pulse
- Tachypnea
- High blood pressure
Skin
Neck
Lungs
- Normal vesicular breath sounds
- Occasional wheezing
Heart
- Normal S1, S2
- Signs of right heart failure in cases cor-pulmonale
Abdomen
- Right upper quadrant tenderness
- Abdominal distention
- Hepatosplenomegaly
- Distended abdominal veins
- Ascites
Genitourinary
- Genital ulcers
- Hypertrophic lesions or nodular lesions of the cervix, vulva, or vagina
- Vesicovaginal fistula
- Uterine enlargement
- Pelvic pain
- Dysuria
Neuromuscular
- Joint tenderness
- Sensory/motor abnormalities
Extremities
References
- ↑ 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.