African trypanosomiasis physical examination: Difference between revisions
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{{African trypanosomiasis}} | {{African trypanosomiasis}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{ADG}} | ||
==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== | ||
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> | |||
{| class="wikitable" | {| class="wikitable" | ||
!Examination findings | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Examination findings | ||
!African | ! 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 | * 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]] | ||
| Line 55: | Line 55: | ||
*[[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]] | ||
| | | | ||
* | *[[Myalgias]] | ||
*Positive | *[[Arthralgias]] | ||
*Positive Kerandel sign (delayed sensitivity to pain) | |||
|- | |- | ||
|[[Extremities]] | |[[Extremities]] | ||
| | | | ||
* Edema | *[[Edema]] | ||
|} | |} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Dermatology]] | |||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:19, 29 July 2020
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African trypanosomiasis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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African trypanosomiasis physical examination On the Web |
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American Roentgen Ray Society Images of African trypanosomiasis physical examination |
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Risk calculators and risk factors for African trypanosomiasis physical examination |
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 |
|
| Neck |
|
| Lymph node |
|
| Lungs |
|
| Heart | |
| Abdomen |
|
| CNS |
|
| Musculoskeletal |
|
| Extremities |