Actinomycosis physical examination: Difference between revisions
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{{Actinomycosis}}{{CMG}} | __NOTOC__ | ||
{{Actinomycosis}} | |||
{{CMG}};{{AE}}{{ADG}} | |||
==Overview== | ==Overview== | ||
Patients with [[actinomycosis]] are usually well-appearing. Physical examination reveals combination of several non-specific findings. | |||
==Physical Examination== | |||
The physical examination findings of [[actinomycosis]] are are mostly nonspecific and are described according to the organ involved <ref name="pmid25045274">{{cite journal |vauthors=Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T |title=Actinomycosis: etiology, clinical features, diagnosis, treatment, and management |journal=Infect Drug Resist |volume=7 |issue= |pages=183–97 |year=2014 |pmid=25045274 |pmc=4094581 |doi=10.2147/IDR.S39601 |url=}}</ref> | |||
===Vital Signs=== | |||
*[[Fever]] | |||
*[[Tachypnea]] | |||
===Oral cavity=== | |||
*[[Oral ulcers]] can be seen in some patients | |||
*Poor [[dental hygiene]] with dental caries | |||
*[[Trismus]] | |||
===Lymph nodes=== | |||
*In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen. | |||
===Neck=== | |||
*No [[Mass|masses]] | |||
*[[Suppurative]] [[abscesses]] with [[fistula]] tracts or draining [[sinuses]] | |||
===Cardiovascular system=== | |||
*Regular rate and rhythm | |||
*[[Heart sounds|Normal S1, S2]] | |||
*No [[murmurs]], rubs, or [[Gallops and Extra Heart Sounds|gallops]] | |||
===Lungs=== | |||
Findings consistent with [[Consolidation (medicine)|parenchymal consolidation]] such as | |||
*[[Percussion of the lungs|Dullness to percussion]] | |||
*Increased [[fremitus]] | |||
*Signs of [[pleura]] involvement such as [[pleuritic]] rub. | |||
===Abdominal=== | |||
*A palpable [[mass]] can be present in any quadrant of abdomen. | |||
*Most common in [[Right lower quadrant abdominal pain resident survival guide|right lower quadrant]]( [[ileocecal valve]]) due to its association with [[appendicitis]]. | |||
===Skin=== | |||
*[[Nodular]] lesions which gradually increase in size and number resulting in [[Cutaneous abscess|multiple abscesses]], and ultimately forming [[sinuses]] that open outside. | |||
*[[Skin]] around the [[abscess]] appears [[Swelling|swollen]], [[erythematous]], or [[Ecchymosis|ecchymotic]] | |||
===Genitourinary system=== | |||
*[[Pyuria]] | |||
*[[Dysuria|Painful urination]] | |||
*[[Pelvic masses|Pelvic mass]] | |||
*[[Menometrorrhagia]] | |||
===Extremities=== | |||
*[[Ulcers]] that bleed on touch | |||
===Nervous system examination=== | |||
*[[Stiff neck]] | |||
*[[Photophobia]] | |||
==References== | ==References== | ||
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[[Category:Overview complete]] | [[Category:Overview complete]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
Latest revision as of 16:18, 18 September 2017
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Actinomycosis Microchapters |
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Diagnosis |
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Treatment |
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Actinomycosis physical examination On the Web |
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American Roentgen Ray Society Images of Actinomycosis physical examination |
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Risk calculators and risk factors for Actinomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with actinomycosis are usually well-appearing. Physical examination reveals combination of several non-specific findings.
Physical Examination
The physical examination findings of actinomycosis are are mostly nonspecific and are described according to the organ involved [1]
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
- Poor dental hygiene with dental caries
- Trismus
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
- Suppurative abscesses with fistula tracts or draining sinuses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Abdominal
- A palpable mass can be present in any quadrant of abdomen.
- Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis.
Skin
- Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside.
- Skin around the abscess appears swollen, erythematous, or ecchymotic
Genitourinary system
Extremities
- Ulcers that bleed on touch
Nervous system examination
References
- ↑ Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T (2014). "Actinomycosis: etiology, clinical features, diagnosis, treatment, and management". Infect Drug Resist. 7: 183–97. doi:10.2147/IDR.S39601. PMC 4094581. PMID 25045274.
de:Aktinomykose gl:Actinomicose hr:Aktinomikoza nl:Actinomycose sr:Актиномикоза fi:Aktinomykoosi uk:Актиномікоз