Strongyloidiasis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Strongyloidiasis}} | {{Strongyloidiasis}} | ||
{{CMG}} ; {{AE}} {{ADG}} | |||
==Overview== | |||
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== | |||
===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 [[cholangitis|acute cholangitis]] and [[hepatic abscess]] | |||
===HEENT=== | |||
*[[Icterus|Icteric sclera]] secondary to [[Jaundice|obstructive jaundice]] | |||
===Chest=== | |||
[[Eosinophilic Pneumonias|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 [[Bronchospasm|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== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{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]] | |||
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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
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.