Paracoccidioidomycosis physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
 
(5 intermediate revisions by the same user not shown)
Line 4: Line 4:


==Overview==
==Overview==
Patients with acute paracoccidioidomycosis usually have an ill appearing, and chronic PMC patients can appear healthy at early stages. Physical examination of patients with juvenile PMC is usually remarkable for node swelling, hepatomegaly, and esplenomegaly. The presence of pulmonary abnormalities and skin lesions on physical examination is suggestive of adult PMC. <ref name=a>Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref>
Patients with [[Acute (medical)|acute]] paracoccidioidomycosis usually appear ill. Chronic PCM patients can appear healthy at early stages. Physical examination of patients with juvenile PCM is usually remarkable for [[lymphadenopathy]] and [[hepatosplenomegaly]]. Adult PCM is characterized by the presence of pulmonary abnormalities and skin lesions.<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref>


==Physical Examination Acute/Subacute/Juvenile==
==Physical Examination Acute/Subacute/Juvenile==
===Appearance of the Patient===
===Appearance of the Patient===
*Weight loss
*[[Weight loss]]


===Vital Signs===
===Vital Signs===
*Fever
*[[Fever]]


===Skin===
===Skin===
*Pallor
*[[Pallor]]
*Jaundice
*[[Jaundice]]
*Cutaneous lesions
*[[Skin lesions|Cutaneous lesions]]


===Neck===
===Neck===
*Lymphadenopathy (cervical)
*[[Lymphadenopathy]] (cervical)
*Lymph node fistulization
*Lymph node [[Fistula|fistulization]]


===Abdomen===
===Abdomen===
*Hepatomegaly
*[[Hepatomegaly]]
*Splenomegaly
*[[Splenomegaly]]
*Abdominal pain
*[[Abdominal tenderness]]
*Lymphadenopathy
*[[Lymphadenopathy]]


===Genitourinary===
===Genitourinary===
*Lymphadenopathy (inguinal)
*[[Lymphadenopathy]] (inguinal)
 
=== Extremities ===
* [[Osteoarticular pain]]


==Physical Examination Chronic/Adult==
==Physical Examination Chronic/Adult==
===Appearance of the Patient===
===Appearance of the Patient===
* Weight loss
* [[Weight loss]]


===Vital Signs===
===Vital Signs===
*Fever
*[[Fever]]
*[[Tachypnea]]
*[[Hypoxemia]]


===Skin===
===Skin===
*Pallor
*[[Pallor]]
*Cutaneous lesions
*[[Skin lesions|Cutaneous lesions]]


===HEENT===
===HEENT<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref>===
*Cutaneous lesions: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx) <ref name=a>Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref>
*[[Skin lesions|Cutaneous lesions]]: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx)


===Neck===
===Neck===
*Lymphadenopathy (cervical)
*[[Lymphadenopathy]] (cervical)
*Lymph node fistulization
*Lymph node [[Fistula|fistulization]]


===Lungs===
===Lungs===
*Velcro crackles: Fibrosis
*Velcro [[crackles]]
**Suggestive of [[fibrosis]]


===Abdomen===
===Abdomen===
*Abdominal pain
*[[Abdominal tenderness]]
*Lymphadenopathy
*[[Lymphadenopathy]]


===Genitourinary===
===Genitourinary<ref name="g">Vignolles M, Melo V, Paniagua B, Giménez M,  Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. ''Arch. Argent. Dermatol. ''2015;65(2):54-56</ref><ref name="pmid10742725">{{cite journal| author=Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT| title=Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature. | journal=Rev Inst Med Trop Sao Paulo | year= 2000 | volume= 42 | issue= 1 | pages= 38-40 | pmid=10742725 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10742725  }} </ref>===
*Lymphadenopathy (inguinal)
*[[Lymphadenopathy]] (inguinal)
*Scotal swelling: Genital PMC
*[[Scrotal swelling]]
*Testicle tumor: Genital PMC
**May be present in Genital PCM
*Penile ulcers: Genital PMC <ref name=g>Vignolles M, Melo V, Paniagua B, Giménez M,  Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. ''Arch. Argent. Dermatol. ''2015;65(2):54-56</ref> <ref name="pmid10742725">{{cite journal| author=Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT| title=Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature. | journal=Rev Inst Med Trop Sao Paulo | year= 2000 | volume= 42 | issue= 1 | pages= 38-40 | pmid=10742725 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10742725  }} </ref>
*Testicle tumor
**May be present in Genital PCM
*Penile ulcers
**May be present in Genital PCM


===Extremities===
===Extremities===
*Osteoarticular pain
*[[Osteoarticular pain]]
*Osteoarticular tumefaction
*Osteoarticular tumefaction


===Neuromuscular===
===Neuromuscular<ref name="h">Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. ''Rev Soc Bras Med Trop.''2011;44(1):22-25</ref>===
*Muscle weakness
*Muscle weakness
*Positive Romberg's test: in neuroparacoccidioidomycosis <ref name=h>Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. ''Rev Soc Bras Med Trop.''2011;44(1):22-25</ref>
*Positive [[Romberg's test]]: in neuroparacoccidioidomycosis


==References==
==References==

Latest revision as of 22:13, 12 February 2016

Paracoccidioidomycosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Paracoccidioidomycosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Case Studies

Case #1

Paracoccidioidomycosis physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Paracoccidioidomycosis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Paracoccidioidomycosis physical examination

CDC on Paracoccidioidomycosis physical examination

Paracoccidioidomycosis physical examination in the news

Blogs on Paracoccidioidomycosis physical examination

Directions to Hospitals Treating Paracoccidioidomycosis

Risk calculators and risk factors for Paracoccidioidomycosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac

Overview

Patients with acute paracoccidioidomycosis usually appear ill. Chronic PCM patients can appear healthy at early stages. Physical examination of patients with juvenile PCM is usually remarkable for lymphadenopathy and hepatosplenomegaly. Adult PCM is characterized by the presence of pulmonary abnormalities and skin lesions.[1]

Physical Examination Acute/Subacute/Juvenile

Appearance of the Patient

Vital Signs

Skin

Neck

Abdomen

Genitourinary

Extremities

Physical Examination Chronic/Adult

Appearance of the Patient

Vital Signs

Skin

HEENT[1]

Neck

Lungs

Abdomen

Genitourinary[2][3]

  • Lymphadenopathy (inguinal)
  • Scrotal swelling
    • May be present in Genital PCM
  • Testicle tumor
    • May be present in Genital PCM
  • Penile ulcers
    • May be present in Genital PCM

Extremities

Neuromuscular[4]

  • Muscle weakness
  • Positive Romberg's test: in neuroparacoccidioidomycosis

References

  1. ↑ 1.0 1.1 Vargas J, Vargas R. Paracoccidioidomicosis. Rev. enferm. infecc. trop. 2009;1(1):49-56
  2. ↑ Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. Arch. Argent. Dermatol. 2015;65(2):54-56
  3. ↑ Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT (2000). "Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature". Rev Inst Med Trop Sao Paulo. 42 (1): 38–40. PMID 10742725.
  4. ↑ Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. Rev Soc Bras Med Trop.2011;44(1):22-25
Retrieved from "https://www.wikidoc.org/index.php?title=Paracoccidioidomycosis_physical_examination&oldid=1215541"