Impetigo physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(5 intermediate revisions by 3 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.Bullae, papules, pustules or ulcers may be visible depicting various types of impetigo.<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596  }} </ref><ref name="pmid17390597">{{cite journal| author=Cole C, Gazewood J| title=Diagnosis and treatment of impetigo. | journal=Am Fam Physician | year= 2007 | volume= 75 | issue= 6 | pages= 859-64 | pmid=17390597 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17390597  }} </ref>
The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.Bullae, [[papules]], [[pustules]] or [[ulcers]] may be visible depicting various types of impetigo.<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596  }} </ref><ref name="pmid17390597">{{cite journal| author=Cole C, Gazewood J| title=Diagnosis and treatment of impetigo. | journal=Am Fam Physician | year= 2007 | volume= 75 | issue= 6 | pages= 859-64 | pmid=17390597 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17390597  }} </ref>


==Physical Examination==
==Physical Examination==
The follwoing findings on physical examination may suggest impetigo:<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596  }} </ref>
The follwoing findings on physical examination may suggest impetigo:<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596 }} </ref><ref name="pmid11929358">{{cite journal| author=Adams BB| title=Dermatologic disorders of the athlete. | journal=Sports Med | year= 2002 | volume= 32 | issue= 5 | pages= 309-21 | pmid=11929358 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11929358 }} </ref>
*Bullous impetigo
*Bullous impetigo
**Fluid filled [[bullae]]
**Fluid filled [[bullae]]
Line 19: Line 19:
**Complete brown crust may be seen after rupture
**Complete brown crust may be seen after rupture
*Ecthyma
*Ecthyma
**Ulcers are punched-out with raised borders
**[[Ulcers]] are punched-out with raised borders
**Brown crust can be seen on the ulcer
**Brown crust can be seen on the [[ulcer]]
 
===General Appearance ===
*Patients with impetigo are usually not in distress
*Patients may appear fatigued
===Vital Signs===
The following vital signs may be noticed in impetigo:
 
*[[Fever]] may be present
*[[Blood pressure]] is normal
*[[Hypotension]]
 
===Abdomen===
*[[Rash]] may be visible on the [[abdomen]]
 
===Trunk and Extremities===
*[[Rash]] may be seen on the trunk or extremities
*Enlarged [[axillary lymph nodes]]
 
===Genitourinary===
The following findings may be found on genitourinary examination of a patient with impetigo:
 
*[[Rash]] on the [[genitals]]
*[[Dysuria]] in case the rash is rash involving the skin around the [[urethra]]
*[[Lymphadenopathy|Inguinal lymphadenopathy]]
 
===Cardiovascular===
*[[Tachycardia]]
 
===Neurological===
There are usually no neurological findings in a patient with impetigo.
 
==Gallery==
==Gallery==
Given below are some exmples of impetigo on various skin locations.
Given below are some exmples of impetigo on various skin locations.
Line 138: Line 169:
{{Reflist|2}}
{{Reflist|2}}


[[Category:Infectious disease]]
 
{{WH}}
{{WS}}
 
[[Category:Disease]]
[[Category:Disease]]
[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]
Line 144: Line 178:
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Primary care]]
[[Category:Emergency mdicine]]
 
[[Category:Up-To-Date]]
{{WH}}
[[Category:Infectious disease]]
{{WS}}
[[Category:Gynecology]]
[[Category:Urology]]

Latest revision as of 22:21, 29 July 2020

Impetigo Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Impetigo from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Impetigo physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Impetigo 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 Impetigo physical examination

CDC on Impetigo physical examination

Impetigo physical examination in the news

Blogs on Impetigo physical examination

Directions to Hospitals Treating Impetigo

Risk calculators and risk factors for Impetigo physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2], Usama Talib, BSc, MD [3]

Overview

The diagnosis of impetigo is primarily clinical. A thorough physical examination plays an important role in the diagnosis of impetigo along with a detailed history taking.Bullae, papules, pustules or ulcers may be visible depicting various types of impetigo.[1][2]

Physical Examination

The follwoing findings on physical examination may suggest impetigo:[1][3]

  • Bullous impetigo
    • Fluid filled bullae
    • Lesions are flaccid and present as a rim of thin brown crust after rupture
    • Bullous impetigo can usualy be seen on the trunk
  • Non-bullous impetigo
    • Papules
    • Pustules
    • Vesicles
    • Non-bullous impetigo is usually seen on the extremities and face
    • Complete brown crust may be seen after rupture
  • Ecthyma
    • Ulcers are punched-out with raised borders
    • Brown crust can be seen on the ulcer

General Appearance

  • Patients with impetigo are usually not in distress
  • Patients may appear fatigued

Vital Signs

The following vital signs may be noticed in impetigo:

Abdomen

Trunk and Extremities

Genitourinary

The following findings may be found on genitourinary examination of a patient with impetigo:

Cardiovascular

Neurological

There are usually no neurological findings in a patient with impetigo.

Gallery

Given below are some exmples of impetigo on various skin locations.

Skin

Face
Trunk
Extremity
Ear
Genitalia

References

  1. ↑ 1.0 1.1 Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R; et al. (2016). "Staphylococcal bullous impetigo in a neonate". World J Clin Cases. 4 (7): 191–4. doi:10.12998/wjcc.v4.i7.191. PMC 4945591. PMID 27458596.
  2. ↑ Cole C, Gazewood J (2007). "Diagnosis and treatment of impetigo". Am Fam Physician. 75 (6): 859–64. PMID 17390597.
  3. ↑ Adams BB (2002). "Dermatologic disorders of the athlete". Sports Med. 32 (5): 309–21. PMID 11929358.
  4. ↑ 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 4.33 4.34 4.35 4.36 4.37 4.38 4.39 4.40 4.41 4.42 4.43 4.44 4.45 4.46 4.47 4.48 4.49 4.50 4.51 4.52 4.53 4.54 4.55 4.56 4.57 4.58 4.59 4.60 4.61 4.62 4.63 4.64 4.65 4.66 4.67 4.68 4.69 4.70 4.71 4.72 4.73 4.74 4.75 4.76 4.77 "Dermatology Atlas".
  5. ↑ "Public Health Image Library (PHIL)".


Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Impetigo_physical_examination&oldid=1639780"