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== | ==Overview== | ||
Patients with shigellosis commonly 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 | Patients with shigellosis commonly 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. Rarely, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes. | ||
==Shigellosis Physical Examination== | ==Shigellosis Physical Examination== | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Revision as of 04:26, 6 April 2015
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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 commonly 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. Rarely, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.
Shigellosis 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
- Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of distal sigmoid colon and rectum.
Vascular
- Flat jugular vein
- Prolonged capillary refill time