Eczema physical examination: Difference between revisions
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{{Eczema}} | {{Eczema}} | ||
{{CMG}}, {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | {{CMG}}, {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | ||
==Overview== | ==Overview== | ||
[[Eczema]] is a [[dermatologic disease]] and [[pruritus]] is the hallmark feature of this [[disease]]. <ref name="pmid24290431">{{cite journal| author=Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL | display-authors=etal| title=Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. | journal=J Am Acad Dermatol | year= 2014 | volume= 70 | issue= 2 | pages= 338-51 | pmid=24290431 | doi=10.1016/j.jaad.2013.10.010 | pmc=4410183 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24290431 }} </ref> | |||
==Physical Examination== | ==Physical Examination== | ||
=== | *[[Eczema]] is a [[dermatologic disease]] and [[pruritus]] is the hallmark feature of this [[disease]]. <ref name="pmid24290431">{{cite journal| author=Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL | display-authors=etal| title=Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. | journal=J Am Acad Dermatol | year= 2014 | volume= 70 | issue= 2 | pages= 338-51 | pmid=24290431 | doi=10.1016/j.jaad.2013.10.010 | pmc=4410183 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24290431 }} </ref> | ||
*The clinical presentation of [[eczema]] varies with age. <ref name="pmid34246205">{{cite journal| author=Kulthanan K, Tuchinda P, Nitiyarom R, Chunharas A, Chantaphakul H, Aunhachoke K | display-authors=etal| title=Clinical practice guidelines for the diagnosis and management of atopic dermatitis. | journal=Asian Pac J Allergy Immunol | year= 2021 | volume= 39 | issue= 3 | pages= 145-155 | pmid=34246205 | doi=10.12932/AP-010221-1050 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34246205 }} </ref> | |||
*The stage of [[lesion]] can be determined based on how it appears. | |||
**Acute - [[crusted]], [[oozing]], eroded [[vesicles]], [[erythematous]] [[plaques]], or [[papules]]. | |||
**Subacute - [[erythematous]] [[scaly]] [[plaques]] or [[papules]]. | |||
**Chronic - slightly pigmented, [[lichenified]] [[plaques]] or [[excoriations]]. <ref name="pmid34246205">{{cite journal| author=Kulthanan K, Tuchinda P, Nitiyarom R, Chunharas A, Chantaphakul H, Aunhachoke K | display-authors=etal| title=Clinical practice guidelines for the diagnosis and management of atopic dermatitis. | journal=Asian Pac J Allergy Immunol | year= 2021 | volume= 39 | issue= 3 | pages= 145-155 | pmid=34246205 | doi=10.12932/AP-010221-1050 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34246205 }} </ref> | |||
{| style="border: 0px; font-size: 90%; margin: 1px; width: " align="center" 1000px;" | |||
| valign="top" | | |||
|+<big>''' Table 1. Summary of [[Physical Examination]].'''</big> | |||
! align="center" style="background: #00CED1; width: 120px;" |{{fontcolor|#FFF|System}} | |||
! align="center" style="background: #00CED1; width: 900px;" |{{fontcolor|#FFF|Findings}} | |||
! | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[General Appearance]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] with [[eczema]] usually appears [[conscious]], [[coherent]], and not in [[cardiorespiratory distress]]. | |||
| | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Vital Signs]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] is usually [[normotensive]] and [[afebrile]]. | |||
|- | |||
| rowspan="5" align="center" style="background: #E6E6FA;" ; |[[HEENT]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Head]] can be [[normocephalic]]. | |||
| | |||
|- | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Eyes]] can be normal. | |||
| | |||
|- | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Ears]] can be normal. | |||
| | |||
|- | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Nose]] can be normal. | |||
| | |||
|- | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Throat]] can be normal. | |||
| | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Chest]] / [[Lungs]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Respiration]] can be normal. | |||
| | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Cardiovascular]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] usually has no pertinent findings. | |||
| | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Abdomen]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] usually has no pertinent findings. | |||
| | |||
|- | |||
| align="center" style="background: #E6E6FA;" |[[Skin]] / [[Extremities]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Image:Eczema-arms.jpg|thumb|left|More severe eczema ('''Image courtesy of Wikipedia''').|link=Special:FilePath/.jpg]] | |||
[[Image:Eczema.jpg|thumb|left|A patch of eczema that has been scratched <br>('''Image courtesy of Wikipedia''').|link=Special:FilePath/.jpg]] | |||
| | |||
|- | |||
| align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Neurologic]] | |||
| style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] usually has no pertinent findings. | |||
| | |||
|} | |||
[[ | ==References== | ||
[[category:Up to Date]] | |||
Latest revision as of 18:44, 14 July 2022
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Eczema Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Eczema On the Web |
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American Roentgen Ray Society Images of Eczema |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.
Overview
Eczema is a dermatologic disease and pruritus is the hallmark feature of this disease. [1]
Physical Examination
- Eczema is a dermatologic disease and pruritus is the hallmark feature of this disease. [1]
- The clinical presentation of eczema varies with age. [2]
- The stage of lesion can be determined based on how it appears.
- Acute - crusted, oozing, eroded vesicles, erythematous plaques, or papules.
- Subacute - erythematous scaly plaques or papules.
- Chronic - slightly pigmented, lichenified plaques or excoriations. [2]
| System | Findings | |
|---|---|---|
| General Appearance | Patient with eczema usually appears conscious, coherent, and not in cardiorespiratory distress. | |
| Vital Signs | Patient is usually normotensive and afebrile. | |
| HEENT | Head can be normocephalic. | |
| Eyes can be normal. | ||
| Ears can be normal. | ||
| Nose can be normal. | ||
| Throat can be normal. | ||
| Chest / Lungs | Respiration can be normal. | |
| Cardiovascular | Patient usually has no pertinent findings. | |
| Abdomen | Patient usually has no pertinent findings. | |
| Skin / Extremities | 
(Image courtesy of Wikipedia). |
|
| Neurologic | Patient usually has no pertinent findings. |
References
- ↑ 1.0 1.1 Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL; et al. (2014). "Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis". J Am Acad Dermatol. 70 (2): 338–51. doi:10.1016/j.jaad.2013.10.010. PMC 4410183. PMID 24290431.
- ↑ 2.0 2.1 Kulthanan K, Tuchinda P, Nitiyarom R, Chunharas A, Chantaphakul H, Aunhachoke K; et al. (2021). "Clinical practice guidelines for the diagnosis and management of atopic dermatitis". Asian Pac J Allergy Immunol. 39 (3): 145–155. doi:10.12932/AP-010221-1050. PMID 34246205 Check
|pmid=value (help).