Rotavirus infection physical examination: Difference between revisions
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===Neuromuscular=== | ===Neuromuscular=== | ||
Revision as of 15:01, 9 May 2017
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Rotavirus infection physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Physical examination
Appearance of the patient
The patient with rotavirus infection may be in a normal appearance. In cases of dehydration, there will be change in the patient appearance depending on the severity of the dehydration as the following:[1][2]
- In early stages of the rotavirus infection the patients are asymptomatic.
- In advanced cases, the patient may show irritable behavior.
- In severe cases, the patient appears pale and lethargic.
Vital signs
- Low blood pressure
- Fever due to the infection and the dehydration
Skin
- Dry skin in case of dehydration.
- Pallor
HEENT
- In infants depressed anterior fontanell may be felt in case of dehydration
- Sunken eyes
Neck
Lungs
Heart
- Normal heart sounds
- No murmurs, gallops or rubs
Abdomen
- Abdominal tenderness
- Cramps
Back
Genitourinary
- Decreased urinary output
Extremities
Neuromuscular
Rotavirus can cause several neurological signs in the severe cases including:[3]
- Convulsions
- Encephalopathy
- Encephalitis
References
- ↑ Parashar UD, Nelson EA, Kang G (2013). "Diagnosis, management, and prevention of rotavirus gastroenteritis in children". BMJ. 347: f7204. doi:10.1136/bmj.f7204. PMID 24379214.
- ↑ WHO http://apps.who.int/iris/bitstream/10665/43209/1/9241593180.pdf Accessed on May 8, 2017
- ↑ Dickey M, Jamison L, Michaud L, Care M, Bernstein DI, Staat MA (2009). "Rotavirus meningoencephalitis in a previously healthy child and a review of the literature". Pediatr Infect Dis J. 28 (4): 318–21. doi:10.1097/INF.0b013e31818ddbe9. PMID 19258926.