Psittacosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
[[ | Patients with psittacosis usually appear to be in significant [[respiratory distress]]. Physical examination of patients with psittacosis is usually remarkable for [[rose spots]] called Horder's spots that can appear anywhere on the body. [[Splenomegaly]] is frequent toward the end of the first week. Diagnosis can be suspected in the case of [[respiratory infection]] associated with [[splenomegaly]] and/or [[epistaxis]]. | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance=== | |||
* Patients with psittacosis usually appear to be in significant [[respiratory distress]].<ref name="pmid3343952">{{cite journal| author=Yung AP, Grayson ML| title=Psittacosis--a review of 135 cases. | journal=Med J Aust | year= 1988 | volume= 148 | issue= 5 | pages= 228-33 | pmid=3343952 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3343952 }} </ref> | |||
===Vital Signs=== | ===Vital Signs=== | ||
* [[Fever]] | * [[Fever]] | ||
===Skin=== | ===Skin=== | ||
* '''Horder spots''' - [[macular]] [[Rash|rashes]] that resemble [[rose spots]] of [[typhoid]]. These appear | * '''Horder spots''' - [[macular]] [[Rash|rashes]] that resemble the [[rose spots]] of [[typhoid]]. These appear on the face. | ||
* [[Erythema multiforme]] / [[erythema nodosum]] may be noticed<ref name="pmid8163836">{{cite journal| author=Macheta MP, Ackrill P, August PJ| title=Psittacosis, panniculitis and clofazimine. | journal=J Infect | year= 1994 | volume= 28 | issue= 1 | pages= 69-71 | pmid=8163836 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8163836 }} </ref> | * [[Erythema multiforme]]/[[erythema nodosum]] may be noticed<ref name="pmid8163836">{{cite journal| author=Macheta MP, Ackrill P, August PJ| title=Psittacosis, panniculitis and clofazimine. | journal=J Infect | year= 1994 | volume= 28 | issue= 1 | pages= 69-71 | pmid=8163836 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8163836 }} </ref> | ||
=== Eyes === | === Eyes === | ||
* In case of [[hepatitis]], [[jaundice]] may be noticed. | * In the case of [[hepatitis]], [[jaundice]] may be noticed. | ||
* [[Conjunctivitis]] in a few cases<ref name="pmid9636859">{{cite journal| author=Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D| title=Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae. | journal=Clin Infect Dis | year= 1998 | volume= 26 | issue= 6 | pages= 1335-40 | pmid=9636859 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9636859 }} </ref> | * [[Conjunctivitis]] is present in a few cases.<ref name="pmid9636859">{{cite journal| author=Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D| title=Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae. | journal=Clin Infect Dis | year= 1998 | volume= 26 | issue= 6 | pages= 1335-40 | pmid=9636859 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9636859 }} </ref> | ||
===Throat === | ===Throat === | ||
* | * Pharyngeal exudates (rare) | ||
=== Heart === | === Heart === | ||
* [[Bradycardia]] | * [[Bradycardia]]/[[tachycardia]] | ||
=== Lungs === | === Lungs === | ||
* [[Consolidation (medicine)|Consolidation]] may be suspected on [[percussion]] | * [[Consolidation (medicine)|Consolidation]] may be suspected on [[percussion]] | ||
* [[Rales]] may be heard | * [[Rales]] may be heard | ||
* [[Pleural friction rub|Pleural rub]] can be noticed | * [[Pleural friction rub|Pleural friction rub]] can be noticed | ||
* Decrease in [[breath sounds]] | * Decrease in [[breath sounds]] | ||
=== Abdomen === | === Abdomen === | ||
[[Splenomegaly]] can be noticed by the end of first week. | * [[Splenomegaly]] can be noticed by the end of first week. | ||
=== Extremities === | === Extremities === | ||
* [[Arthritis]] in a few cases | * [[Arthritis]] in a few cases | ||
=== Neurologic === | === Neurologic === | ||
* [[Confusion]] | * [[Confusion]] | ||
* [[Seizure]] | * [[Seizure]] | ||
Cranial nerves | * [[Cranial nerve palsy|Cranial nerve palsy]] of cranial nerves II, IV, VI and VII | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
Latest revision as of 23:52, 29 July 2020
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Psittacosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Psittacosis physical examination On the Web |
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American Roentgen Ray Society Images of Psittacosis physical examination |
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Risk calculators and risk factors for Psittacosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]Omodamola Aje B.Sc, M.D. [3]
Overview
Patients with psittacosis usually appear to be in significant respiratory distress. Physical examination of patients with psittacosis is usually remarkable for rose spots called Horder's spots that can appear anywhere on the body. Splenomegaly is frequent toward the end of the first week. Diagnosis can be suspected in the case of respiratory infection associated with splenomegaly and/or epistaxis.
Physical Examination
Appearance
- Patients with psittacosis usually appear to be in significant respiratory distress.[1]
Vital Signs
Skin
- Horder spots - macular rashes that resemble the rose spots of typhoid. These appear on the face.
- Erythema multiforme/erythema nodosum may be noticed[2]
Eyes
- In the case of hepatitis, jaundice may be noticed.
- Conjunctivitis is present in a few cases.[3]
Throat
- Pharyngeal exudates (rare)
Heart
Lungs
- Consolidation may be suspected on percussion
- Rales may be heard
- Pleural friction rub can be noticed
- Decrease in breath sounds
Abdomen
- Splenomegaly can be noticed by the end of first week.
Extremities
- Arthritis in a few cases
Neurologic
- Confusion
- Seizure
- Cranial nerve palsy of cranial nerves II, IV, VI and VII
References
- ↑ Yung AP, Grayson ML (1988). "Psittacosis--a review of 135 cases". Med J Aust. 148 (5): 228–33. PMID 3343952.
- ↑ Macheta MP, Ackrill P, August PJ (1994). "Psittacosis, panniculitis and clofazimine". J Infect. 28 (1): 69–71. PMID 8163836.
- ↑ Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D (1998). "Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae". Clin Infect Dis. 26 (6): 1335–40. PMID 9636859.