Typhus physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Typhus}} | {{Typhus}} | ||
{{CMG}} ; {{AE}}{{ADG}} | |||
==Overview== | |||
{{CMG}} | Typhus fever presents with high grade [[fever]] and a [[maculopapular rash]]. [[Generalized lymphadenopathy]] is present in majority of the patients. Physical examination usually reveal combination of several non-specific findings.<ref name="urlEpidemic Typhus">{{cite web |url=https://www.cdc.gov/typhus/epidemic/index.html |title=Epidemic Typhus |format= |work= |accessdate=}}</ref><ref name="urlMurine Typhus">{{cite web |url=https://www.cdc.gov/typhus/murine/index.html |title=Murine Typhus |format= |work= |accessdate=}}</ref><ref name="urlScrub Typhus">{{cite web |url=https://www.cdc.gov/typhus/scrub/index.html |title=Scrub Typhus |format= |work= |accessdate=}}</ref> | ||
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==Physical examination== | ==Physical examination== | ||
===Vitals=== | ===Vitals=== | ||
*Fever | *[[Fever]] (as high as 104oF) | ||
*Bradycardia | *[[Bradycardia]] | ||
*Tachypnea and cough | *[[Tachypnea]] and [[cough]] | ||
===HEENT=== | |||
*[[Red eye|Conjunctival redness]] occurs in scrub typhus. | |||
===Skin=== | ===Skin=== | ||
* | *A [[Maculopapular|maculopapula]]<nowiki/>r, or [[petechial rash]] initially appears on the trunk and axilla and spreads to involve the rest of the body except for the face, palms, and soles. | ||
*Rash is [[petechia]]<nowiki/>l in patients with [[epidemic]] or [[Murine typhus|murine typhus.]] | |||
Rash | *[[Eschar]] is found in the [[Scrub typhus|scrub]] form of typhus and is diagnostic. Eschar develops at the site of the arthropod bite as a painless papule. It then becomes indurated and enlarged. The center of the lesion becomes necrotic and develops into a black scab. | ||
*Eschar | |||
Eschar | |||
===Lymph nodes=== | ===Lymph nodes=== | ||
*[[Generalized lymphadenopathy]] | |||
Lymph nodes are often tender and enlarged. | *Lymph nodes are often tender and enlarged. | ||
===Abdomnen=== | ===Abdomnen=== | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Splenomegaly | *[[Splenomegaly]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
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[[Category:Biological weapons]] | [[Category:Biological weapons]] | ||
[[Category:Rickettsiales]] | [[Category:Rickettsiales]] | ||
[[Category:Needs overview]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Gastroenterology]] | ||
[[Category:Pulmonology]] | |||
Latest revision as of 00:32, 30 July 2020
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Typhus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Typhus physical examination On the Web |
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American Roentgen Ray Society Images of Typhus physical examination |
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Risk calculators and risk factors for Typhus 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
Typhus fever presents with high grade fever and a maculopapular rash. Generalized lymphadenopathy is present in majority of the patients. Physical examination usually reveal combination of several non-specific findings.[1][2][3]
Physical examination
Vitals
- Fever (as high as 104oF)
- Bradycardia
- Tachypnea and cough
HEENT
- Conjunctival redness occurs in scrub typhus.
Skin
- A maculopapular, or petechial rash initially appears on the trunk and axilla and spreads to involve the rest of the body except for the face, palms, and soles.
- Rash is petechial in patients with epidemic or murine typhus.
- Eschar is found in the scrub form of typhus and is diagnostic. Eschar develops at the site of the arthropod bite as a painless papule. It then becomes indurated and enlarged. The center of the lesion becomes necrotic and develops into a black scab.
Lymph nodes
- Generalized lymphadenopathy
- Lymph nodes are often tender and enlarged.