Shigellosis physical examination: Difference between revisions
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===Vital Signs=== | ===Vital Signs=== | ||
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements: | Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements: | ||
*Fever | *[[Fever]] | ||
*Tachycardia | *[[Tachycardia]] | ||
*Tachypnea | *[[Tachypnea]] | ||
*Hypotension | *[[Hypotension]] | ||
===Skin=== | ===Skin=== | ||
*Poor skin turgor | *Poor [[skin turgor]] | ||
===HEENT=== | ===HEENT=== | ||
*Conjunctival pallor | *[[Conjunctival pallor]] | ||
*Xerophthalmia (dry eyes) | *[[Xerophthalmia]] (dry eyes) | ||
*Xerostomia (dry oral mucous membranes) | *[[Xerostomia]] (dry oral mucous membranes) | ||
===Abdomen=== | ===Abdomen=== | ||
*Distended | *[[Distended bowel]]s | ||
*Hyperactive bowel | *[[Hyperactive bowel sound]]s | ||
*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 rectum. | *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=== | ===Vascular=== | ||
*Flat jugular vein | *Flat [[jugular vein]] | ||
*Prolonged capillary refill time | *Prolonged [[capillary refill time]] | ||
==References== | ==References== | ||
Revision as of 13:52, 6 April 2015
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Shigellosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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:
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