Sporotrichosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of cutaneous sporotrichosis include painless pink to purple nodular lesions or erythematous plaque on the skin, which may begin to grow, ulcerate, and drain. These lesions characteristically manifest on upper extremities. Non-cutaneous forms of sporotrichosis are not generally associated with distinctive physical findings. | Common physical examination findings of cutaneous sporotrichosis include painless pink to purple [[nodular lesions]] or [[erythematous]] [[plaque]] on the skin, which may begin to grow, ulcerate, and drain. These [[Lesion|lesions]] characteristically manifest on upper extremities. Non-cutaneous forms of sporotrichosis are not generally associated with distinctive physical findings. | ||
==Physical examination== | ==Physical examination== | ||
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===Skin=== | ===Skin=== | ||
Cutaneous: | Cutaneous: | ||
* Initial nodular lesion at inoculation site | * Initial [[Nodular lesions|nodular lesion]] at [[inoculation]] site | ||
** Small and painless | ** Small and painless | ||
** Pink to purple coloration | ** Pink to purple coloration | ||
** Plaque | ** [[Plaque]] | ||
** Erythema | ** [[Erythema]] | ||
** Capillary congestion | ** Capillary congestion | ||
* Nodular lesion grows when left untreated | * [[Nodular lesions|Nodular lesion]] grows when left untreated | ||
** Boil-like | ** Boil-like | ||
** Ulceration | ** [[Ulceration]] | ||
** Drainage | ** Drainage | ||
* Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle. | * Older distal lesions will likely [[Ulcerated lesion|ulcerate]] and ooze, while proximal [[Lesion|lesions]] manifest as [[Nodular Lesions|nodules]] and undergo the same cycle. | ||
Disseminated Cutaneous: | Disseminated Cutaneous: | ||
* Subcutaneous mass lesions | * Subcutaneous mass [[Lesion|lesions]] | ||
* Diffuse purplish nodules | * Diffuse purplish [[nodules]] | ||
* Disseminated, ulcerating lesions | * Disseminated, [[Ulcerated lesion|ulcerating lesions]] | ||
===Lungs=== | ===Lungs=== | ||
*Pulmonary sporotrichosis: | *Pulmonary sporotrichosis: | ||
**Productive coughing | **Productive [[coughing]] | ||
**Difficulty breathing due to pulmonary fibrosis | **Difficulty breathing due to [[pulmonary fibrosis]] | ||
**Swollen hilar lymph nodes | **Swollen hilar lymph nodes | ||
===Extremities=== | ===Extremities=== | ||
* Cutaneous sporotrichosis lesions are characteristic to upper extremities | * Cutaneous sporotrichosis [[lesions]] are characteristic to upper extremities | ||
** Lesions on fingers | ** [[Lesions]] on fingers | ||
** Lesions on arms | ** [[Lesions]] on arms | ||
** Lesions on hands | ** [[Lesions]] on hands | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Revision as of 16:01, 28 January 2016
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Sporotrichosis Microchapters |
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Sporotrichosis physical examination On the Web |
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American Roentgen Ray Society Images of Sporotrichosis physical examination |
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Risk calculators and risk factors for Sporotrichosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alison Leibowitz [2]
Overview
Common physical examination findings of cutaneous sporotrichosis include painless pink to purple nodular lesions or erythematous plaque on the skin, which may begin to grow, ulcerate, and drain. These lesions characteristically manifest on upper extremities. Non-cutaneous forms of sporotrichosis are not generally associated with distinctive physical findings.
Physical examination
Appearance of the Patient
Vital Signs
- Patients with cutaneous forms of sporotrichosis typically present normal with vital signs.
Skin
Cutaneous:
- Initial nodular lesion at inoculation site
- Nodular lesion grows when left untreated
- Boil-like
- Ulceration
- Drainage
- Older distal lesions will likely ulcerate and ooze, while proximal lesions manifest as nodules and undergo the same cycle.
Disseminated Cutaneous:
- Subcutaneous mass lesions
- Diffuse purplish nodules
- Disseminated, ulcerating lesions
Lungs
- Pulmonary sporotrichosis:
- Productive coughing
- Difficulty breathing due to pulmonary fibrosis
- Swollen hilar lymph nodes
Extremities
- Cutaneous sporotrichosis lesions are characteristic to upper extremities
Neuromuscular
- Patient is usually oriented to persons, place, and time.
