Coccidioidomycosis physical examination: Difference between revisions
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*[[Percussion of the lungs|Dullness to percussion]] | *[[Percussion of the lungs|Dullness to percussion]] | ||
*Increased [[fremitus]] | *Increased [[fremitus]] | ||
* | *[[Bronchial breathing]]. | ||
*[[Rales]] & [[Ronchi]] | |||
===Abdominal=== | ===Abdominal=== | ||
*Abdomen soft and non-distended with no scars or striations | *Abdomen soft and non-distended with no scars or striations | ||
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===Skin=== | ===Skin=== | ||
*Erythema nodosum, Erythema multiforme | |||
* | |||
*Verrucous lesions with irregular border and variegated appearance | *Verrucous lesions with irregular border and variegated appearance | ||
[[Image:Erythema-nodosum.jpg|500px|center|]] | |||
===Bone and joints=== | ===Bone and joints=== | ||
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*[[Consciousness|Altered level of consciousness]] | *[[Consciousness|Altered level of consciousness]] | ||
*[[Nuchal rigidity]] | *[[Nuchal rigidity]] | ||
*Increased intracranial pressure is a common finding | |||
==Gallery== | ==Gallery== |
Revision as of 18:30, 10 March 2017
Coccidioidomycosis Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Coccidioidomycosis physical examination On the Web |
American Roentgen Ray Society Images of Coccidioidomycosis physical examination |
Risk calculators and risk factors for Coccidioidomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2]
Physical Examination
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as[1]
- Dullness to percussion
- Increased fremitus
- Bronchial breathing.
- Rales & Ronchi
Abdominal
- Abdomen soft and non-distended with no scars or striations
- No pulsatile masses or abdominal bruits ascultated
- Spleen not palpable, liver not palpable
Skin
- Erythema nodosum, Erythema multiforme
- Verrucous lesions with irregular border and variegated appearance
![](/images/6/68/Erythema-nodosum.jpg)
Bone and joints
- Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
- Arthritis can cause reproducible pain in joints.
Genitourinary system
Extremities
- Ulcers that bleed on touch
Neurological
Normal examination finding unless the infection is disseminated to brain resulting in meningitis,then findings include :
- Altered level of consciousness
- Nuchal rigidity
- Increased intracranial pressure is a common finding
Gallery
-
Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [2]
-
Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [2]
-
Large red spot formed at volar surface of patient's left arm, indicating a positive result to a skin test to determine whether patient was exposed to the Coccidioides spp. fungal organism. From Public Health Image Library (PHIL). [2]
References
- ↑ Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.
- ↑ 2.0 2.1 2.2 "Public Health Image Library (PHIL)".