Coccidioidomycosis physical examination: Difference between revisions
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{{Coccidioidomycosis}} | {{Coccidioidomycosis}} | ||
{{CMG}}; {{AE}}; {{VB}}; {{ADG}} | |||
{{CMG}}; {{AE}}; {{VB}} | ==Overview== | ||
The physical manifestations of the disease depends on the organ of involvement. In the order of incidence the most commonly involved organs are lungs, skin, bones, genitourinary system, central nervous system and other organs. | |||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 18:34, 10 March 2017
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Coccidioidomycosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Coccidioidomycosis physical examination On the Web |
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American Roentgen Ray Society Images of Coccidioidomycosis physical examination |
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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]; Aditya Ganti M.B.B.S. [3]
Overview
The physical manifestations of the disease depends on the organ of involvement. In the order of incidence the most commonly involved organs are lungs, skin, bones, genitourinary system, central nervous system and other organs.
Physical Examination
Vital Signs
HEENT
Ocular hypersensitivity is a frequent finding presenting as episcleritis, conjunctivitis, sclerities
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
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
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![Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [2]](/images/b/b2/Coccidioidomycosis28.jpeg)
Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [2]
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![Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [2]](/images/3/32/Coccidioidomycosis03.jpeg)
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]](/images/f/f7/Coccidioidomycosis01.jpeg)
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]
![Erythema nodosum lesions on skin of back due to hypersensitivity to antigens of Coccidioides immitis. From Public Health Image Library (PHIL). [2]](/index.php/File:Coccidioidomycosis28.jpeg)
![Chronic lesion that had been determined to be due to a Coccidioides sp. fungal infection. From Public Health Image Library (PHIL). [2]](/index.php/File:Coccidioidomycosis03.jpeg)
![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]](/index.php/File:Coccidioidomycosis01.jpeg)
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)".