Coccidioidomycosis physical examination: Difference between revisions
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{{Coccidioidomycosis}} | {{Coccidioidomycosis}} | ||
{{CMG}}; {{AE}}; {{VB}} | |||
{{CMG}}; {{AE}}; {{VB}} | |||
==Physical Examination== | ==Physical Examination== | ||
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*[[Tachypnea]] | *[[Tachypnea]] | ||
=== | ===Oral cavity=== | ||
*[[Oral ulcers]] can be seen in some patients | |||
===Lymph nodes=== | ===Lymph nodes=== | ||
*In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen. | *In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen. | ||
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===Skin=== | ===Skin=== | ||
* | |||
*Ulcerative lesions that bleed easily | |||
*Verrucous lesions with irregular border and variegated appearance | *Verrucous lesions with irregular border and variegated appearance | ||
===Bone and joints=== | ===Bone and joints=== | ||
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*[[Consciousness|Altered level of consciousness]] | *[[Consciousness|Altered level of consciousness]] | ||
*[[Nuchal rigidity]] | *[[Nuchal rigidity]] | ||
==Gallery== | ==Gallery== | ||
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]
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
- Ulcerative lesions that bleed easily
- 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 :
Gallery
-
![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] -
![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)".