Actinomycosis physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
*[[Nodular]] lesions which gradually increase in size and number resulting in [[Cutaneous abscess|multiple abscesses]], and ultimately forming [[sinuses]] that open outside. | *[[Nodular]] lesions which gradually increase in size and number resulting in [[Cutaneous abscess|multiple abscesses]], and ultimately forming [[sinuses]] that open outside. | ||
*[[Skin]] around the [[abscess]] appears [[Swelling|swollen]], [[erythematous]], or ecchymotic | *[[Skin]] around the [[abscess]] appears [[Swelling|swollen]], [[erythematous]], or [[Ecchymosis|ecchymotic]] | ||
===Genitourinary system=== | ===Genitourinary system=== | ||
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===Extremities=== | ===Extremities=== | ||
*[[Ulcers]] that bleed on touch | *[[Ulcers]] that bleed on touch | ||
=== | ===Nervous system examination=== | ||
*[[Stiff neck]] | *[[Stiff neck]] | ||
*[[Photophobia]] | *[[Photophobia]] | ||
Revision as of 14:21, 7 April 2017
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Actinomycosis Microchapters |
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Diagnosis |
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Treatment |
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Actinomycosis physical examination On the Web |
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American Roentgen Ray Society Images of Actinomycosis physical examination |
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Risk calculators and risk factors for Actinomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with actinomycosis are usually well-appearing. Physical examination reveals combination of several non-specific findings.
Physical Examination
The physical examination findings of actinomycosis are are mostly nonspecific and are described according to the organ involved [1]
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
- Poor dental hygiene with dental caries
- Trismus
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
- Suppurative abscesses with fistula tracts or draining sinuses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Abdominal
- A palpable mass can be present in any quadrant of abdomen.
- Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis.
Skin
- Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside.
- Skin around the abscess appears swollen, erythematous, or ecchymotic
Genitourinary system
Extremities
- Ulcers that bleed on touch
Nervous system examination
References
- ↑ Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T (2014). "Actinomycosis: etiology, clinical features, diagnosis, treatment, and management". Infect Drug Resist. 7: 183–97. doi:10.2147/IDR.S39601. PMC 4094581. PMID 25045274.
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