Shigellosis physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
*Poor | *Poor skin turgor | ||
===HEENT=== | ===HEENT=== | ||
* | *Conjunctival pallor | ||
*[[Xerophthalmia]] (dry eyes) | *[[Xerophthalmia]] (dry eyes) | ||
*[[Xerostomia]] (dry oral mucous membranes) | *[[Xerostomia]] (dry oral mucous membranes) | ||
===Abdomen=== | ===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]]. | *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]]. | ||
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[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Medical signs]] | |||
[[Category:Signs and symptoms]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 20:49, 29 June 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 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.
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
References