Typhus physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Typhus}} | |||
{{CMG}} ; {{AE}}{{ADG}} | |||
==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.<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> | |||
==Physical examination== | |||
===Vitals=== | |||
*[[Fever]] (as high as 104oF) | |||
*[[Bradycardia]] | |||
*[[Tachypnea]] and [[cough]] | |||
===HEENT=== | |||
*[[Red eye|Conjunctival redness]] occurs in scrub typhus. | |||
===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.]] | |||
*[[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. | |||
===Lymph nodes=== | |||
*[[Generalized lymphadenopathy]] | |||
*Lymph nodes are often tender and enlarged. | |||
===Abdomnen=== | |||
*[[Hepatomegaly]] | |||
*[[Splenomegaly]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Bacterial diseases]] | |||
[[Category:Zoonoses]] | |||
[[Category:Insect-borne diseases]] | |||
[[Category:Biological weapons]] | |||
[[Category:Rickettsiales]] | |||
[[Category:Needs overview]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[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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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.