African trypanosomiasis physical examination: Difference between revisions

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{{African trypanosomiasis}}
{{African trypanosomiasis}}
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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.


==Overview==
==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"
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Examination findings
! style="background:#4479BA; color: #FFFFFF;" align="center" + |African trypanosomiasis physical examination
|-
|Appearance of the patient
|
* [[Drowsiness|Drowsy]]
* [[Fatigue]] or tired
|-
|[[vital signs|Vital Signs]]
|
* [[Fever]]
* [[Bradycardia]]
* [[Weight loss]]
|-
|[[Skin]]
|
* [[Chancre]] at bite site
* [[Maculopapular rash]]
|-
|[[HEENT]]
|
* Normal
|-
|[[Neck]]
|
* [[Lymphadenopathy|Cervical lymphadenopathy]] is more common in the West African trypanosomiasis
* Positive [[Winterbottom's sign]]
|-
|[[Lymph node]]
|
* [[Axillary]] and [[inguinal]] [[lymphadenopathy]] are more common in [[African trypanosomiasis|East African trypanosomiasis]]
|-
|[[Lungs]]
|
* Normal bilateral [[Vesicular Breathing|vesicular breath sounds]]
|-
|[[Heart]]
|
* [[S1]], [[S2]] normal, no [[murmurs]] or [[Gallops and Extra Heart Sounds|gallops]] heard
|-
|[[Abdomen]]
|
*[[Hepatosplenomegaly]] (West African sleeping sickness)
*[[Abdominal tenderness]]
|-
|[[CNS]]
|
* [[Irritability]]
* [[Tremors]]
* Increased [[muscle rigidity]] and tonicity
* [[Ataxia]]
* [[Hemiparesis]]
|-
|[[Musculoskeletal system|Musculoskeletal]]
|
*[[Myalgias]]
*[[Arthralgias]]
*Positive Kerandel sign (delayed sensitivity to pain)
|-
|[[Extremities]]
|
*[[Edema]]
|}


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Needs content]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Dermatology]]
[[Category:Neurology]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]

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.
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