Escherichia coli enteritis physical examination: Difference between revisions
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{{CMG}} {{AE}} {{YD}} {{SSK}} | {{CMG}} {{AE}} {{YD}} {{SSK}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with ''E. coli'' enteritis may be remarkable for [[abdominal tenderness]] and signs of [[dehydration]], such as abnormal [[orthostatic vital signs]], reduced [[turgor|skin turgor]], [[capillary refill|slow capillary refill]], and dry mucous membranes. Physical examination among patients with severe dehydration may be remarkable for [[altered mental status]]. Physical examination may also be remarkable for findings suggestive of complications of the ''E. coli'' enteritis (e.g. [[hemolytic uremic syndrome]]), such as | [[Physical examination]] of [[Patient|patients]] with [[Escherichia coli enteritis|''E. coli'' enteritis]] may be remarkable for [[abdominal tenderness]], [[fever]] (occasionally), and [[Medical sign|signs]] of [[dehydration]], such as abnormal [[orthostatic vital signs]], reduced [[turgor|skin turgor]], [[capillary refill|slow capillary refill]], and dry [[Mucous membrane|mucous membranes]]. [[Physical examination]] among [[Patient|patients]] with severe [[dehydration]] may be remarkable for [[altered mental status]]. [[Physical examination]] may also be remarkable for findings suggestive of [[Complication (medicine)|complications]] of the [[Escherichia coli enteritis|''E. coli'' enteritis]] (e.g. [[hemolytic uremic syndrome]]), such as [[pallor|skin pallor]], [[petechiae]], and [[bruise]]s. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination is generally remarkable for signs of dehydration. | *[[Physical examination]] is generally remarkable for [[Medical sign|signs]] of [[dehydration]]. | ||
*Physical examination, however, should also focus on findings that may be suggestive of development of ''E. coli'' enteritis-associated complications, such as [[hemolytic uremic syndrome]]. | *[[Physical examination]], however, should also focus on findings that may be suggestive of the development of [[Escherichia coli enteritis|''E. coli'' enteritis]]-associated [[Complication (medicine)|complications]], such as [[hemolytic uremic syndrome]]. | ||
===General Appearance=== | ===General Appearance=== | ||
*Ill-appearing | *Ill-appearing | ||
*Crying (in pediatric patients) | *Crying (in [[Pediatrics|pediatric]] patients) | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Fever]] (usually absent in EHEC-enteritis) | *[[Fever]] (usually absent in [[EHEC]]-enteritis) | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
*[[Orthostatic hypotension]] may be suggestive of dehydration (due to diarrhea and/or vomiting) | *[[Orthostatic hypotension]] may be suggestive of [[dehydration]] (due to [[diarrhea]] and/or [[Nausea and vomiting|vomiting]]) | ||
===Skin=== | ===Skin=== | ||
*[[Turgor|Reduced skin turgor]] | *[[Turgor|Reduced skin turgor]] | ||
*[[Capillary refill|Slow capillary refill]] | *[[Capillary refill|Slow capillary refill]] | ||
*[[Pallor|Skin pallor]] or [[petechiae]] may be suggestive of hemolysis among patients who develop [[hemolytic uremic syndrome]] | *[[Pallor|Skin pallor]] or [[petechiae]] may be suggestive of [[hemolysis]] among [[Patient|patients]] who develop [[hemolytic uremic syndrome]] | ||
===HEENT=== | ===HEENT=== | ||
*Sunken [[fontanelles]] in infants | *Sunken [[fontanelles]] in [[Infant|infants]] | ||
*Sunken eyes | *Sunken [[Eye|eyes]] | ||
*Absent tears in children | *Absent [[tears]] in [[Child|children]] | ||
*[[Mucous membranes|Dry mucous membranes]] | *[[Mucous membranes|Dry mucous membranes]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal tenderness]] (usually diffuse) | *[[Abdominal tenderness]] (usually [[diffuse]]) | ||
*[[Bloody stools]] and/or rectal tenderness may be present on [[rectal examination]] | *[[Bloody stools]] and/or [[rectal]] [[tenderness]] may be present on [[rectal examination]] | ||
===Neurologic=== | ===Neurologic=== | ||
*[[Altered mental status]] may be present in cases of severe dehydration, especially among elderly and pediatric patients | *[[Altered mental status]] may be present in cases of severe [[dehydration]], especially among elderly and [[Pediatrics|pediatric]] [[Patient|patients]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Foodborne illnesses]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Bacterial diseases]] | |||
Latest revision as of 00:11, 18 December 2018
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Escherichia coli enteritis Microchapters |
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Differentiating Escherichia coli enteritis from other Diseases |
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Diagnosis |
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Treatment |
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Escherichia coli enteritis physical examination On the Web |
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American Roentgen Ray Society Images of Escherichia coli enteritis physical examination |
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Risk calculators and risk factors for Escherichia coli enteritis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, M.D. Serge Korjian M.D.
Overview
Physical examination of patients with E. coli enteritis may be remarkable for abdominal tenderness, fever (occasionally), and signs of dehydration, such as abnormal orthostatic vital signs, reduced skin turgor, slow capillary refill, and dry mucous membranes. Physical examination among patients with severe dehydration may be remarkable for altered mental status. Physical examination may also be remarkable for findings suggestive of complications of the E. coli enteritis (e.g. hemolytic uremic syndrome), such as skin pallor, petechiae, and bruises.
Physical Examination
- Physical examination is generally remarkable for signs of dehydration.
- Physical examination, however, should also focus on findings that may be suggestive of the development of E. coli enteritis-associated complications, such as hemolytic uremic syndrome.
General Appearance
- Ill-appearing
- Crying (in pediatric patients)
Vital Signs
- Fever (usually absent in EHEC-enteritis)
- Tachycardia
- Tachypnea
- Orthostatic hypotension may be suggestive of dehydration (due to diarrhea and/or vomiting)
Skin
- Reduced skin turgor
- Slow capillary refill
- Skin pallor or petechiae may be suggestive of hemolysis among patients who develop hemolytic uremic syndrome
HEENT
- Sunken fontanelles in infants
- Sunken eyes
- Absent tears in children
- Dry mucous membranes
Abdomen
- Abdominal tenderness (usually diffuse)
- Bloody stools and/or rectal tenderness may be present on rectal examination
Neurologic
- Altered mental status may be present in cases of severe dehydration, especially among elderly and pediatric patients