African trypanosomiasis physical examination: Difference between revisions

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{{African trypanosomiasis}}
{{African trypanosomiasis}}
{{CMG}}
{{CMG}}; {{AE}} {{ADG}}
   
   
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==Overview==
[[Physical examination]] findings of [[African trypanosomiasis]] depend on the stage of the disease. [[Skin lesions]] are more prominent in stage 1 and [[neurological]] findings such as altered level of [[consciousness]] and [[hemiparesis]] predominate in stage 2.


==Physical Examination==
==Physical Examination==
===Head===
Physical examination findings of [[African trypanosomiasis]] depend on the stage of the disease. [[Skin lesions]] are more prominent in stage 1 and neurological findings such as altered level of [[consciousness]] and [[hemiparesis]] predominate in stage 2.<ref name="pmid9557424">{{cite journal |vauthors=Odiit M, Kansiime F, Enyaru JC |title=Duration of symptoms and case fatality of sleeping sickness caused by Trypanosoma brucei rhodesiense in Tororo, Uganda |journal=East Afr Med J |volume=74 |issue=12 |pages=792–5 |year=1997 |pmid=9557424 |doi= |url=}}</ref>
*[[Meningoencephalitis]] (inflammation of the brain and its covering, the meninges) may be present.
 
{| class="wikitable"
{| class="wikitable"
!Examination findings
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Examination findings
!African trypnaosomiasis physical examination
! style="background:#4479BA; color: #FFFFFF;" align="center" + |African trypanosomiasis physical examination
|-
|-
|Appearance of the patient
|Appearance of the patient
|
|
* Drowsy  
* [[Drowsiness|Drowsy]]
* Fatigue or tired
* [[Fatigue]] or tired
|-
|-
|Vital Signs
|[[vital signs|Vital Signs]]
|
|
* Fever
* [[Fever]]
* Bradycardia
* [[Bradycardia]]
* Weight loss
* [[Weight loss]]
|-
|-
|[[Skin]]
|[[Skin]]
|
|
* Chancre at bite site
* [[Chancre]] at bite site
* Maculopapular rash
* [[Maculopapular rash]]
*
|-
|-
|HEENT
|[[HEENT]]
|
|
* Normal  
* Normal  
|-
|-
|Neck
|[[Neck]]
|
|
* Cervical lymphadenopathy is more common in the West African
* [[Lymphadenopathy|Cervical lymphadenopathy]] is more common in the West African trypanosomiasis
* Positive Winterbottom sign
* Positive [[Winterbottom's sign]]
|-
|-
|Lymph node  
|[[Lymph node]]
|
|
* Axillary and inguinal lymphadenopathy are more common in East African trypanosomiasis
* [[Axillary]] and [[inguinal]] [[lymphadenopathy]] are more common in [[African trypanosomiasis|East African trypanosomiasis]]
|-
|-
|[[Lungs]]
|[[Lungs]]
|
|
* Normal bilateral vesicular breathe sounds
* Normal bilateral [[Vesicular Breathing|vesicular breath sounds]]
|-
|-
|[[Heart]]
|[[Heart]]
|
|
* S1, S2 normal, no murmurs or gallops heard
* [[S1]], [[S2]] normal, no [[murmurs]] or [[Gallops and Extra Heart Sounds|gallops]] heard
|-
|-
|[[Abdomen]]
|[[Abdomen]]
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*[[Abdominal tenderness]]
*[[Abdominal tenderness]]
|-
|-
|CNS
|[[CNS]]
|
|
* Irritability
* [[Irritability]]
* Tremors
* [[Tremors]]
* Increased muscle rigidity and tonicity
* Increased [[muscle rigidity]] and tonicity
* Ataxia  
* [[Ataxia]]
* Hemiparesis
* [[Hemiparesis]]
|-
|-
|Musculoskeletal
|[[Musculoskeletal system|Musculoskeletal]]
|Joint and muscle aches
|
Positive kerandel sign
*[[Myalgias]]
*[[Arthralgias]]
*Positive Kerandel sign (delayed sensitivity to pain)
|-
|-
|[[Extremities]]
|[[Extremities]]
|
|
* Edema
*[[Edema]]
|}
|}


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs overview]]
 
[[Category:Needs content]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Dermatology]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Parasitic diseases]]
[[Category:Euglenozoa]]
[[Category:Sleep disorders]]
[[Category:Neglected diseases]]
[[Category:Insect-borne diseases]]

Latest revision as of 20:19, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Physical examination findings of African trypanosomiasis depend on the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness and hemiparesis predominate in stage 2.

Physical Examination

Physical examination findings of African trypanosomiasis depend on the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness and hemiparesis predominate in stage 2.[1]

Examination findings African trypanosomiasis physical examination
Appearance of the patient
Vital Signs
Skin
HEENT
  • Normal
Neck
Lymph node
Lungs
Heart
Abdomen
CNS
Musculoskeletal
Extremities

References

  1. Odiit M, Kansiime F, Enyaru JC (1997). "Duration of symptoms and case fatality of sleeping sickness caused by Trypanosoma brucei rhodesiense in Tororo, Uganda". East Afr Med J. 74 (12): 792–5. PMID 9557424.