Chagas disease physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Chagas disease}} | {{Chagas disease}} | ||
{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{RT}}; {{YD}} | ||
==Overview== | ==Overview== | ||
On physical examination, Chagas disease may manifest with fever, tachycardia, cardiac rhythm abnormalities, hepatosplenomegaly, and lymphadenopathy. Romaña's sign, a classical sign of Chagas disease, is characterized by eyelid sweilling at the site of parasitic entry. Other signs on physical examination are usually due to either cardiac or GI manifestations of the disease. | |||
==Physical Examination== | ==Physical Examination== | ||
=== | ===Vital signs=== | ||
*[[ | *[[Fever]] | ||
*[[ | *[[Tachycardia]] | ||
*[[Bradycardia]] | |||
*[[Tachypnea]] | |||
*[[Irregular pulse]] | |||
===Skin=== | ===Skin=== | ||
*Insect bite wound | |||
*Excoriations due to scratching at site of insect bite | |||
===HEENT=== | ===HEENT=== | ||
*Romaña's sign (swelling of the eyelids at the site of parasitic entry) | |||
[[Image:Chagoma.jpg|thumb|This child from Panama is suffering from Chagas' disease manifested as an acute infection with swelling of the right eye (Romaña's sign). Source: CDC.]] | |||
*[[Lower extremity edema]] | |||
===Neck=== | |||
*Cervical [[lymphadenopathy]] | |||
*[[Jugular venous distention]] | |||
===Cardiac=== | ===Cardiac=== | ||
Positive cardiac findings are due to development of Chagas cardiomyopathy | |||
*S3 or S4 heart sounds | |||
*[[Displaced point of maximal impulse]] (PMI) | |||
To view a comprehensive list of physical exam signs of congestive heart failure, click [[Congestive heart failure physical examination|'''here''']] | |||
===Abdomen=== | ===Abdomen=== | ||
* | *[[Hepatosplenomegaly]] | ||
*[[Abdominal tenderness]] | |||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Neurology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Cardiology]] | ||
Latest revision as of 20:53, 29 July 2020
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Chagas disease Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Chagas disease physical examination On the Web |
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American Roentgen Ray Society Images of Chagas disease physical examination |
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Risk calculators and risk factors for Chagas disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Yazan Daaboul, M.D.
Overview
On physical examination, Chagas disease may manifest with fever, tachycardia, cardiac rhythm abnormalities, hepatosplenomegaly, and lymphadenopathy. Romaña's sign, a classical sign of Chagas disease, is characterized by eyelid sweilling at the site of parasitic entry. Other signs on physical examination are usually due to either cardiac or GI manifestations of the disease.
Physical Examination
Vital signs
Skin
- Insect bite wound
- Excoriations due to scratching at site of insect bite
HEENT
- Romaña's sign (swelling of the eyelids at the site of parasitic entry)
Neck
- Cervical lymphadenopathy
- Jugular venous distention
Cardiac
Positive cardiac findings are due to development of Chagas cardiomyopathy
- S3 or S4 heart sounds
- Displaced point of maximal impulse (PMI)
To view a comprehensive list of physical exam signs of congestive heart failure, click here