Norovirus infection physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with norovirus infection may be remarkable for low-grade fever, tachycardia, abdominal tenderness, and signs of dehydration (reduced skin turgor, sunken fontanelles, sunken eyes, dry mucous membranes). | Physical examination of patients with norovirus infection may be remarkable for [[low-grade fever]], [[tachycardia]], [[abdominal tenderness]], and signs of [[dehydration]] (reduced skin [[turgor]], [[sunken]] [[fontanelles]], sunken eyes, dry [[mucous membranes]]). In severe cases of dehydration, physical examination may be remarkable for [[hypotension]] and abnormal [[orthostatic]] [[Vital signs (medicine)|vital signs]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with norovirus infection is often remarkable for the following findings: | Physical examination of patients with norovirus infection is often remarkable for the following findings:<ref name="pmid25567225">{{cite journal| author=Robilotti E, Deresinski S, Pinsky BA| title=Norovirus. | journal=Clin Microbiol Rev | year= 2015 | volume= 28 | issue= 1 | pages= 134-64 | pmid=25567225 | doi=10.1128/CMR.00075-14 | pmc=4284304 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25567225 }} </ref><ref name="pmid15306997">{{cite journal| author=Lopman BA, Reacher MH, Vipond IB, Sarangi J, Brown DW| title=Clinical manifestation of norovirus gastroenteritis in health care settings. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 3 | pages= 318-24 | pmid=15306997 | doi=10.1086/421948 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15306997 }} </ref> | ||
===General Appearance=== | ===General Appearance=== | ||
*Sick-looking | *Sick-looking | ||
*Crying children | *Crying children | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Fever]] (usually low-grade) | *[[Fever]] (usually low-grade) | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
*[[ | *Orthostatic [[hypotension]] may be present in severe dehydration | ||
===Skin=== | ===Skin=== | ||
*[[ | |||
*[[Skin pallor]] | *Reduced skin [[turgor]] | ||
*[[Slow capillary refill]] | *[[Pallor|Skin pallor]] | ||
*[[Capillary refill|Slow capillary refill]] | |||
===HEENT=== | ===HEENT=== | ||
*Sunken [[fontanelles]] in infants | *Sunken [[fontanelles]] in infants | ||
*Sunken eyes | *Sunken eyes | ||
*Absent tears | *Absent tears | ||
*Dry mucous membranes | *Dry mucous membranes | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal tenderness]] (usually diffuse) | *[[Abdominal tenderness]] (usually diffuse) | ||
===Neurologic=== | ===Neurologic=== | ||
*[[Altered mental status]] may be present in severe dehydration elderly or pediatric patients | |||
== References == | *[[Altered mental status]] may be present in severe dehydration, especially among elderly or pediatric patients | ||
==References== | |||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Viral diseases]] | [[Category:Viral diseases]] | ||
Latest revision as of 17:45, 8 March 2021
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Norovirus infection physical examination On the Web |
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Risk calculators and risk factors for Norovirus infection physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination of patients with norovirus infection may be remarkable for low-grade fever, tachycardia, abdominal tenderness, and signs of dehydration (reduced skin turgor, sunken fontanelles, sunken eyes, dry mucous membranes). In severe cases of dehydration, physical examination may be remarkable for hypotension and abnormal orthostatic vital signs.
Physical Examination
Physical examination of patients with norovirus infection is often remarkable for the following findings:[1][2]
General Appearance
- Sick-looking
- Crying children
Vital Signs
- Fever (usually low-grade)
- Tachycardia
- Tachypnea
- Orthostatic hypotension may be present in severe dehydration
Skin
- Reduced skin turgor
- Skin pallor
- Slow capillary refill
HEENT
- Sunken fontanelles in infants
- Sunken eyes
- Absent tears
- Dry mucous membranes
Abdomen
- Abdominal tenderness (usually diffuse)
Neurologic
- Altered mental status may be present in severe dehydration, especially among elderly or pediatric patients
References
- ↑ Robilotti E, Deresinski S, Pinsky BA (2015). "Norovirus". Clin Microbiol Rev. 28 (1): 134–64. doi:10.1128/CMR.00075-14. PMC 4284304. PMID 25567225.
- ↑ Lopman BA, Reacher MH, Vipond IB, Sarangi J, Brown DW (2004). "Clinical manifestation of norovirus gastroenteritis in health care settings". Clin Infect Dis. 39 (3): 318–24. doi:10.1086/421948. PMID 15306997.