Aspergillosis physical examination: Difference between revisions
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{{Aspergillosis}} | {{Aspergillosis}} | ||
{{CMG}}; | {{CMG}} {{AE}} {{HL}}; {{YD}}; {{SSK}} | ||
==Overview== | ==Overview== | ||
Invasive pulmonary aspergillosis patients often appear sick-looking, [[lethargic]], and [[fatigue|fatigued]]. In contrast, patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy. Physical examination of patients with pulmonary or invasive aspergillosis is usually remarkable for [[Breath sound|decreased breath sounds]] with [[wheeze]]s, [[rales]], and [[Tactile fremitus|increased tactile fremitus]]. Physical examination of patients with cutaneous aspergillosis is usually remarkable for either single or multiple erythematous-to-violaceous [[cutaneous]] [[papule]]s, [[macule]]s, [[nodule]]s, or [[plaque]]s.<ref name="wiki">Aspergillosis. Wikipedia (2015) https://en.wikipedia.org/wiki/Aspergillosis Accessed on February, 8 2016</ref><ref name="pmid9774549">{{cite journal| author=van Burik JA, Colven R, Spach DH| title=Cutaneous aspergillosis. | journal=J Clin Microbiol | year= 1998 | volume= 36 | issue= 11 | pages= 3115-21 | pmid=9774549 | doi= | pmc=PMC105285 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9774549 }} </ref><ref name="pmid18303098">{{cite journal| author=Samarakoon P, Soubani A| title=Invasive pulmonary aspergillosis in patients with COPD: a report of five cases and systematic review of the literature. | journal=Chron Respir Dis | year= 2008 | volume= 5 | issue= 1 | pages= 19-27 | pmid=18303098 | doi=10.1177/1479972307085637 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18303098 }} </ref> | |||
==Physical Exam== | |||
===General Appearance=== | |||
* Invasive pulmonary aspergillosis patients often appear sick-looking, [[lethargic]], and [[fatigue|fatigued]] | |||
* Patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy | |||
===Vital Signs=== | |||
* [[Fever]] | |||
* [[Tachycardia]] | |||
* [[Tachypnea]] | |||
* [[Oxygen saturation|Decreased oxygen saturation on room air]] | |||
===Skin=== | |||
* Single or multiple erythematous-to-violaceous macules, [[papule]]s, nodules, or [[plaque]]s | |||
* [[Pustules]] may be present among neonates | |||
* [[Ulcer|Central necrotic ulcer]] | |||
===HEENT=== | |||
*Facial tenderness | |||
*Excessive mucus secretion | |||
*Nasal inflammation | |||
===Cardiothoracic Examination=== | |||
* [[Rales]] | |||
* [[Wheeze]]s | |||
*[[Tactile fremitus|Increased tactile fremitus]] | |||
*[[Increased vocal fremitus]] | |||
*[[Breath sound|Decreased breath sounds]] | |||
*[[Rhonchi]] | |||
===Extremities=== | |||
* [[Clubbing]] | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Fungal diseases]] | [[Category:Fungal diseases]] | ||
Latest revision as of 17:01, 18 September 2017
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Aspergillosis Microchapters |
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Treatment |
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Case Studies |
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Aspergillosis physical examination On the Web |
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American Roentgen Ray Society Images of Aspergillosis physical examination |
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Risk calculators and risk factors for Aspergillosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]; Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
Invasive pulmonary aspergillosis patients often appear sick-looking, lethargic, and fatigued. In contrast, patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy. Physical examination of patients with pulmonary or invasive aspergillosis is usually remarkable for decreased breath sounds with wheezes, rales, and increased tactile fremitus. Physical examination of patients with cutaneous aspergillosis is usually remarkable for either single or multiple erythematous-to-violaceous cutaneous papules, macules, nodules, or plaques.[1][2][3]
Physical Exam
General Appearance
- Invasive pulmonary aspergillosis patients often appear sick-looking, lethargic, and fatigued
- Patients with pulmonary aspergilloma, allergic bronchopulmonary aspergillosis, or allergic sinusitis often appear healthy
Vital Signs
Skin
- Single or multiple erythematous-to-violaceous macules, papules, nodules, or plaques
- Pustules may be present among neonates
- Central necrotic ulcer
HEENT
- Facial tenderness
- Excessive mucus secretion
- Nasal inflammation
Cardiothoracic Examination
Extremities
References
- ↑ Aspergillosis. Wikipedia (2015) https://en.wikipedia.org/wiki/Aspergillosis Accessed on February, 8 2016
- ↑ van Burik JA, Colven R, Spach DH (1998). "Cutaneous aspergillosis". J Clin Microbiol. 36 (11): 3115–21. PMC 105285. PMID 9774549.
- ↑ Samarakoon P, Soubani A (2008). "Invasive pulmonary aspergillosis in patients with COPD: a report of five cases and systematic review of the literature". Chron Respir Dis. 5 (1): 19–27. doi:10.1177/1479972307085637. PMID 18303098.