Shigellosis physical examination: Difference between revisions
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{{Shigellosis}} | {{Shigellosis}} | ||
{{CMG}} '''Associate Editor(s)-In-Chief:''' [[User:YazanDaaboul|Yazan Daaboul]]; [[User:Sergekorjian|Serge Korjian]] | |||
==Overview== | |||
Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse [[abdominal tenderness]] in more than 70% of cases and [[fever]] in approximately 25% to 40% of cases. Less commonly, physical examination is remarkable for signs of [[dehydration]], such as [[hypotension]], [[tachycardia]], and dry mucous membranes. | |||
==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | |||
*Lethargic | |||
*Toxic-appearing | |||
===Vital Signs=== | |||
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements: | |||
*[[Fever]] | |||
*[[Tachycardia]] | |||
*[[Tachypnea]] | |||
*[[Hypotension]] | |||
===Skin=== | |||
*Poor skin turgor | |||
===HEENT=== | |||
*Conjunctival pallor | |||
*[[Xerophthalmia]] (dry eyes) | |||
*[[Xerostomia]] (dry oral mucous membranes) | |||
===Abdomen=== | |||
*Distended bowels | |||
*Hyperactive bowel sounds | |||
*Diffuse [[abdominal tenderness]] on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of the distal [[sigmoid colon]] and/or [[rectum]]. | |||
* [[ | ===Vascular=== | ||
*Flat [[jugular vein]] | |||
*Prolonged [[capillary refill time]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 19:04, 18 September 2017
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Shigellosis Microchapters |
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Shigellosis physical examination On the Web |
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American Roentgen Ray Society Images of Shigellosis physical examination |
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Risk calculators and risk factors for Shigellosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Yazan Daaboul; Serge Korjian
Overview
Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 25% to 40% of cases. Less commonly, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.
Physical Examination
General Appearance
- Lethargic
- Toxic-appearing
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:
Skin
- Poor skin turgor
HEENT
- Conjunctival pallor
- Xerophthalmia (dry eyes)
- Xerostomia (dry oral mucous membranes)
Abdomen
- Distended bowels
- Hyperactive bowel sounds
- Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of the distal sigmoid colon and/or rectum.
Vascular
- Flat jugular vein
- Prolonged capillary refill time
References