Impetigo physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Impetigo}} | {{Impetigo}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{KS}}, {{USAMA}} | ||
==Overview== | |||
The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.Bullae, [[papules]], [[pustules]] or [[ulcers]] may be visible depicting various types of impetigo.<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596 }} </ref><ref name="pmid17390597">{{cite journal| author=Cole C, Gazewood J| title=Diagnosis and treatment of impetigo. | journal=Am Fam Physician | year= 2007 | volume= 75 | issue= 6 | pages= 859-64 | pmid=17390597 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17390597 }} </ref> | |||
==Physical Examination== | ==Physical Examination== | ||
The follwoing findings on physical examination may suggest impetigo:<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596 }} </ref><ref name="pmid11929358">{{cite journal| author=Adams BB| title=Dermatologic disorders of the athlete. | journal=Sports Med | year= 2002 | volume= 32 | issue= 5 | pages= 309-21 | pmid=11929358 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11929358 }} </ref> | |||
*Bullous impetigo | |||
**Fluid filled [[bullae]] | |||
**[[Lesions]] are [[flaccid]] and present as a rim of thin brown crust after rupture | |||
**Bullous impetigo can usualy be seen on the trunk | |||
*Non-bullous impetigo | |||
**[[Papules]] | |||
**[[Pustules]] | |||
**[[Vesicles]] | |||
**Non-bullous impetigo is usually seen on the extremities and face | |||
**Complete brown crust may be seen after rupture | |||
*Ecthyma | |||
**[[Ulcers]] are punched-out with raised borders | |||
**Brown crust can be seen on the [[ulcer]] | |||
===General Appearance === | |||
*Patients with impetigo are usually not in distress | |||
*Patients may appear fatigued | |||
===Vital Signs=== | |||
The following vital signs may be noticed in impetigo: | |||
*[[Fever]] may be present | |||
*[[Blood pressure]] is normal | |||
*[[Hypotension]] | |||
===Abdomen=== | |||
*[[Rash]] may be visible on the [[abdomen]] | |||
===Trunk and Extremities=== | |||
*[[Rash]] may be seen on the trunk or extremities | |||
*Enlarged [[axillary lymph nodes]] | |||
===Genitourinary=== | |||
The following findings may be found on genitourinary examination of a patient with impetigo: | |||
*[[Rash]] on the [[genitals]] | |||
*[[Dysuria]] in case the rash is rash involving the skin around the [[urethra]] | |||
*[[Lymphadenopathy|Inguinal lymphadenopathy]] | |||
===Cardiovascular=== | |||
*[[Tachycardia]] | |||
===Neurological=== | |||
There are usually no neurological findings in a patient with impetigo. | |||
==Gallery== | |||
Given below are some exmples of impetigo on various skin locations. | |||
====Skin==== | ====Skin==== | ||
< | =====Face===== | ||
<gallery | <gallery> | ||
Image: | Image:Group A streptococcus03.jpeg|Lesions of patient’s forehead proved to be impetigo, usually caused by Staphylococcus aureus bacteria. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Impetigo.jpg| | |||
Image:Impetigo01.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo01.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo02.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo10.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo22.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo23.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo24.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo01.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo26.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo27.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo28.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo29.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo71.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo72.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo73.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
=====Trunk===== | |||
<gallery> | |||
Image:Impetigo03.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo06.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo12.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo21.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo30.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo31.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo32.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo33.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo34.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo35.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo36.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo37.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo38.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo01.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo41.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo42.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo43.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo44.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo47.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo48.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo49.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo50.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo51.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo54.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo60.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo61.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo62.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo65.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo66.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo67.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo68.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
=====Extremity===== | |||
<gallery> | |||
Image: Group A streptococcus24.jpeg|Imaculopapular lesions that proved to be impetigo, a bacterial skin infection. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL> | |||
Image:Impetigo04.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo05.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo07.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo08.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo09.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo25.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo39.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo40.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo45.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo46.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo52.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo53.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo64.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo63.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo64.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo13.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo14.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo15.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo16.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo17.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo69.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo70.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
=====Ear===== | |||
<gallery> | |||
Image:Impetigo11.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
=====Genitalia===== | |||
<gallery> | |||
Image:Impetigo18.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo19.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo20.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo55.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo56.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo57.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo58.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Impetigo59.jpg|Impetigo. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | </gallery> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{ | |||
{{ | {{WH}} | ||
{{WS}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
[[Category:Infectious skin diseases]] | [[Category:Infectious skin diseases]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Needs content]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Gynecology]] | |||
[[Category:Urology]] |
Latest revision as of 22:21, 29 July 2020
Impetigo Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Impetigo physical examination On the Web |
American Roentgen Ray Society Images of Impetigo physical examination |
Risk calculators and risk factors for Impetigo physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2], Usama Talib, BSc, MD [3]
Overview
The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.Bullae, papules, pustules or ulcers may be visible depicting various types of impetigo.[1][2]
Physical Examination
The follwoing findings on physical examination may suggest impetigo:[1][3]
- Bullous impetigo
- Non-bullous impetigo
- Ecthyma
General Appearance
- Patients with impetigo are usually not in distress
- Patients may appear fatigued
Vital Signs
The following vital signs may be noticed in impetigo:
- Fever may be present
- Blood pressure is normal
- Hypotension
Abdomen
Trunk and Extremities
- Rash may be seen on the trunk or extremities
- Enlarged axillary lymph nodes
Genitourinary
The following findings may be found on genitourinary examination of a patient with impetigo:
- Rash on the genitals
- Dysuria in case the rash is rash involving the skin around the urethra
- Inguinal lymphadenopathy
Cardiovascular
Neurological
There are usually no neurological findings in a patient with impetigo.
Gallery
Given below are some exmples of impetigo on various skin locations.
Skin
Face
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Lesions of patient’s forehead proved to be impetigo, usually caused by Staphylococcus aureus bacteria. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
Trunk
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
Extremity
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Imaculopapular lesions that proved to be impetigo, a bacterial skin infection. From Public Health Image Library (PHIL). [5]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
Ear
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Impetigo. Adapted from Dermatology Atlas.[4]
Genitalia
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
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Impetigo. Adapted from Dermatology Atlas.[4]
References
- ↑ 1.0 1.1 Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R; et al. (2016). "Staphylococcal bullous impetigo in a neonate". World J Clin Cases. 4 (7): 191–4. doi:10.12998/wjcc.v4.i7.191. PMC 4945591. PMID 27458596.
- ↑ Cole C, Gazewood J (2007). "Diagnosis and treatment of impetigo". Am Fam Physician. 75 (6): 859–64. PMID 17390597.
- ↑ Adams BB (2002). "Dermatologic disorders of the athlete". Sports Med. 32 (5): 309–21. PMID 11929358.
- ↑ 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 4.33 4.34 4.35 4.36 4.37 4.38 4.39 4.40 4.41 4.42 4.43 4.44 4.45 4.46 4.47 4.48 4.49 4.50 4.51 4.52 4.53 4.54 4.55 4.56 4.57 4.58 4.59 4.60 4.61 4.62 4.63 4.64 4.65 4.66 4.67 4.68 4.69 4.70 4.71 4.72 4.73 4.74 4.75 4.76 4.77 "Dermatology Atlas".
- ↑ "Public Health Image Library (PHIL)".