Rubella physical examination: Difference between revisions
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===HEENT=== | ===HEENT=== | ||
*[[Lymphadenopathy]], may precede [[rash]], often involves [[posterior auricular]] or suboccipital [[Lymph node|lymph nodes]], can be generalized, and lasts between 5 and 8 days. | *[[Lymphadenopathy]], may precede [[rash]], often involves [[posterior auricular]] or suboccipital [[Lymph node|lymph nodes]], can be generalized, and lasts between 5 and 8 days.<ref name="Nelson Textbook of Pediatrics">Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). "Chapter 247:Rubella". Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1548–1552. ISBN 978-1-4557-7566-8.</ref><ref name="Goldman-Cecil Medicine">Goldman, Lee; Schafer, Andrew (2016). "Chapter 368:Rubella (German Measles)". Goldman-Cecil Medicine, 25th Edition. Elsevier. pp. 2204–2206. ISBN 9781455750177.</ref><ref name="pmid2408312">{{cite journal| author=Buimovici-Klein E, Cooper LZ| title=Cell-mediated immune response in rubella infections. | journal=Rev Infect Dis | year= 1985 | volume= 7 Suppl 1 | issue= | pages= S123-8 | pmid=2408312 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2408312 }} </ref> | ||
===Skin=== | ===Skin=== | ||
*The [[rash]] usually starts on the [[face]], becomes generalized within 24 hours, and lasts for about 3 days. | *The [[rash]] usually starts on the [[face]], becomes generalized within 24 hours, and lasts for about 3 days. | ||
Revision as of 13:37, 2 May 2017
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Rubella Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Rubella physical examination On the Web |
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American Roentgen Ray Society Images of Rubella physical examination |
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Risk calculators and risk factors for Rubella physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.
Overview
Rubella infection in adults presents with low grade fever and a maculopapular rash starting on the face and spreads caudally. Cervical lymphadenopathy is present in majority of the patients.
Physical Examination
General Appearance
Patient appears normal and in no distress.
HEENT
- Lymphadenopathy, may precede rash, often involves posterior auricular or suboccipital lymph nodes, can be generalized, and lasts between 5 and 8 days.[1][2][3]
Skin
- The rash usually starts on the face, becomes generalized within 24 hours, and lasts for about 3 days.
- It occurs in 50% to 80% of patients infected with rubella.
Images
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This is an 11 mo. old infant with a mild rubella rash, as well as a nondescript secondary macular eruption. -
Neck of male patient with rubella. -
This patient presented with a generalized rash on the abdomen caused by German measles (rubella).
References
- ↑ Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). "Chapter 247:Rubella". Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1548–1552. ISBN 978-1-4557-7566-8.
- ↑ Goldman, Lee; Schafer, Andrew (2016). "Chapter 368:Rubella (German Measles)". Goldman-Cecil Medicine, 25th Edition. Elsevier. pp. 2204–2206. ISBN 9781455750177.
- ↑ Buimovici-Klein E, Cooper LZ (1985). "Cell-mediated immune response in rubella infections". Rev Infect Dis. 7 Suppl 1: S123–8. PMID 2408312.