Strongyloidiasis physical examination: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
The physical examination findings in [[strongyloidiasis]] vary and | The physical examination findings in [[strongyloidiasis]] vary and are usually dependent on the worm burden and the involved organ.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref> | ||
==Physical examination== | ==Physical examination== | ||
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Most patients generally appear well with minimal or no symptoms on physical examination. | Most patients generally appear well with minimal or no symptoms on physical examination. | ||
===Vital signs=== | ===Vital signs=== | ||
Fever may be | Fever may be observed in [[strongyloidiasis]]. | ||
*Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]] | *Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]] | ||
*High grade [[fever]] | *High-grade [[fever]] | ||
** | **Present in complications such as [[cholangitis|acute cholangitis]] and [[hepatic abscess]] | ||
===HEENT=== | ===HEENT=== | ||
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===Chest=== | ===Chest=== | ||
[[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[ | [[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[Löffler's syndrome]]) may occur in severe cases with the patient presenting with the following physical examination findings: | ||
* [[Dyspnea]] | * [[Dyspnea]] | ||
* Coarse [[rales]] | * Coarse [[rales]] | ||
* [[Wheezing]] resulting from [[bronchospasms]] | * [[Wheezing]] resulting from [[Bronchospasm|bronchospasms]] | ||
===Abdomen=== | ===Abdomen=== | ||
Physical examination of abdomen may reveal: | Physical examination of the abdomen may reveal: | ||
* [[Abdominal tenderness]] | * [[Abdominal tenderness]] | ||
**Secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], | **Secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], acute [[cholangitis]], [[acute cholecystitis]], [[hepatic abscess]], etc. | ||
* [[Abdominal distension]] | * [[Abdominal distension]] | ||
* Signs of acute [[bowel obstruction]] | * Signs of acute [[bowel obstruction]] | ||
===Skin=== | ===Skin=== | ||
Patients may present with [[urticaria]]. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WS}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Gastroenterology]] | |||
[[Category:Dermatology]] | |||
[[Category:Neurology]] | |||
[[Category:Pulmonology]] | |||
Latest revision as of 00:20, 30 July 2020
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Strongyloidiasis physical examination On the Web |
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Risk calculators and risk factors for Strongyloidiasis 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
The physical examination findings in strongyloidiasis vary and are usually dependent on the worm burden and the involved organ.[1]
Physical examination
General appearance
Most patients generally appear well with minimal or no symptoms on physical examination.
Vital signs
Fever may be observed in strongyloidiasis.
- Low-grade fever may occur in some patients with strongyloidiasis
- High-grade fever
- Present in complications such as acute cholangitis and hepatic abscess
HEENT
- Icteric sclera secondary to obstructive jaundice
Chest
Eosinophilic pneumonia (Löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:
- Dyspnea
- Coarse rales
- Wheezing resulting from bronchospasms
Abdomen
Physical examination of the abdomen may reveal:
- Abdominal tenderness
- Secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc.
- Abdominal distension
- Signs of acute bowel obstruction
Skin
Patients may present with urticaria.
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.