Hand-foot-and-mouth disease physical examination: Difference between revisions
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{{Hand-foot-and-mouth disease}} | {{Hand-foot-and-mouth disease}} | ||
{{CMG}}; {{AE}} {{JH}} | {{CMG}}; {{AE}} {{JH}}, {{AKI}} | ||
==Overview== | ==Overview== | ||
Hand foot mouth disease is one of many infections that result in mouth sores. Another common cause is oral [[herpesvirus]] infection, which produces an [[inflammation]] of the mouth and gums (sometimes called [[stomatitis]]). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination | Hand foot mouth disease is one of many infections that result in mouth sores. Another common cause is oral [[herpesvirus]] infection, which produces an [[inflammation]] of the mouth and gums (sometimes called [[stomatitis]]). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination. | ||
==Physical examination== | ==Physical examination== | ||
Common physical examination findings of hand-foot and mouth disease include:<ref name="pmid13682692">{{cite journal| author=ALSOP J, FLEWETT TH, FOSTER JR| title="Hand-foot-and-mouth disease" in Birmingham in 1959. | journal=Br Med J | year= 1960 | volume= 2 | issue= 5214 | pages= 1708-11 | pmid=13682692 | doi= | pmc=2098292 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13682692 }} </ref> | Common physical examination findings of hand-foot and mouth disease include:<ref name="pmid13682692">{{cite journal| author=ALSOP J, FLEWETT TH, FOSTER JR| title="Hand-foot-and-mouth disease" in Birmingham in 1959. | journal=Br Med J | year= 1960 | volume= 2 | issue= 5214 | pages= 1708-11 | pmid=13682692 | doi= | pmc=2098292 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13682692 }} </ref><ref name="pmid25183845">{{cite journal| author=Repass GL, Palmer WC, Stancampiano FF| title=Hand, foot, and mouth disease: identifying and managing an acute viral syndrome. | journal=Cleve Clin J Med | year= 2014 | volume= 81 | issue= 9 | pages= 537-43 | pmid=25183845 | doi=10.3949/ccjm.81a.13132 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25183845 }} </ref> | ||
* | |||
*Lesions in the mouth: | ===General Apperance=== | ||
:*Irregularly shaped shallow ulcers with yellow-grey base and hyperemic margin. | *Patient will appear ill with fever | ||
===HEENT=== | |||
*Lesions in the [[mouth]]: | |||
:*Irregularly shaped shallow [[ulcers]] with yellow-grey base and hyperemic margin.<ref name="pmid24463804">{{cite journal| author=Hubiche T, Schuffenecker I, Boralevi F, Léauté-Labrèze C, Bornebusch L, Chiaverini C et al.| title=Dermatological spectrum of hand, foot and mouth disease from classical to generalized exanthema. | journal=Pediatr Infect Dis J | year= 2014 | volume= 33 | issue= 4 | pages= e92-8 | pmid=24463804 | doi=10.1097/INF.0000000000000120 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24463804 }} </ref> | |||
:*Location of the ulcers include: | :*Location of the ulcers include: | ||
:**Margings of tongue | :**Margings of [[tongue]] | ||
:**Inside of cheeks | :**Inside of [[cheeks]] | ||
:**Anterior fauces | :**Anterior [[fauces]] | ||
:**On the mandible above the posterior molar teeth | :**On the [[mandible]] above the posterior [[molar teeth]] | ||
:**Soft palate | :**[[Soft palate]] | ||
*Vesicular skin lesions on hand , foot (dorsum of the fingers and toes near the nail margins, and on heels) and sometimes on the buttocks. | ===Skin=== | ||
:* | *[[Vesicular]] [[Skin lesion|skin lesions]] on [[hand]] , [[foot]] (dorsum of the [[fingers]] and toes near the nail margins, and on heels) and sometimes on the [[buttocks]]. | ||
:*Vesicular skin lesions usually do not occur on [[Palms of the hands|palms]] and [[soles]] but if they do occur, they are profuse, smaller and more uniform in size. | |||
===Gallery=== | ===Gallery=== | ||
====Head==== | |||
<gallery> | |||
Image: Hand_foot_mouth_disease_07.jpeg| . Hand-foot-and-mouth disease. <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=177> | |||
Image: Hand_foot_mouth_disease_13.jpeg| . Hand-foot-and-mouth disease. <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=177> | |||
Image: Hand_foot_mouth_disease_14.jpeg| . Hand-foot-and-mouth disease. <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=177> | |||
</gallery> | |||
====Extremities==== | ====Extremities==== | ||
<gallery> | <gallery> | ||
| Line 46: | Line 60: | ||
Image: Hand_foot_mouth_disease_15.jpeg| Hand-foot-and-mouth disease. <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=177> | Image: Hand_foot_mouth_disease_15.jpeg| Hand-foot-and-mouth disease. <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=177> | ||
</gallery> | </gallery> | ||
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== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Dermatology]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 21:57, 29 July 2020
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Hand-foot-and-mouth disease Microchapters |
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Differentiating Hand-foot-and-mouth disease from other Diseases |
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Diagnosis |
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Treatment |
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Treatment |
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Hand-foot-and-mouth disease physical examination On the Web |
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American Roentgen Ray Society Images of Hand-foot-and-mouth disease physical examination |
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Hand-foot-and-mouth disease physical examination in the news |
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Directions to Hospitals Treating Hand-foot-and-mouth disease |
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Risk calculators and risk factors for Hand-foot-and-mouth disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2], Aravind Kuchkuntla, M.B.B.S[3]
Overview
Hand foot mouth disease is one of many infections that result in mouth sores. Another common cause is oral herpesvirus infection, which produces an inflammation of the mouth and gums (sometimes called stomatitis). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination.
Physical examination
Common physical examination findings of hand-foot and mouth disease include:[1][2]
General Apperance
- Patient will appear ill with fever
HEENT
- Lesions in the mouth:
- Irregularly shaped shallow ulcers with yellow-grey base and hyperemic margin.[3]
- Location of the ulcers include:
- Margings of tongue
- Inside of cheeks
- Anterior fauces
- On the mandible above the posterior molar teeth
- Soft palate
Skin
- Vesicular skin lesions on hand , foot (dorsum of the fingers and toes near the nail margins, and on heels) and sometimes on the buttocks.
Gallery
Head
Extremities
References
- ↑ ALSOP J, FLEWETT TH, FOSTER JR (1960). ""Hand-foot-and-mouth disease" in Birmingham in 1959". Br Med J. 2 (5214): 1708–11. PMC 2098292. PMID 13682692.
- ↑ Repass GL, Palmer WC, Stancampiano FF (2014). "Hand, foot, and mouth disease: identifying and managing an acute viral syndrome". Cleve Clin J Med. 81 (9): 537–43. doi:10.3949/ccjm.81a.13132. PMID 25183845.
- ↑ Hubiche T, Schuffenecker I, Boralevi F, Léauté-Labrèze C, Bornebusch L, Chiaverini C; et al. (2014). "Dermatological spectrum of hand, foot and mouth disease from classical to generalized exanthema". Pediatr Infect Dis J. 33 (4): e92–8. doi:10.1097/INF.0000000000000120. PMID 24463804.