Cytomegalovirus infection physical examination: Difference between revisions
Jump to navigation
Jump to search
| Line 29: | Line 29: | ||
**Blood vessels appear sheathed. | **Blood vessels appear sheathed. | ||
**If left untreated, [[retinitis]] is a rapidly progressive condition and on fundus examination it demonstrates a characteristic brushfire pattern, with a granular, white leading edge advancing before an atrophic gliotic scar. | **If left untreated, [[retinitis]] is a rapidly progressive condition and on fundus examination it demonstrates a characteristic brushfire pattern, with a granular, white leading edge advancing before an atrophic gliotic scar. | ||
===Cardiovascular=== | |||
*Normal heart sounds | |||
*No [[murmurs]], gallops or rubs | |||
===Lungs=== | ===Lungs=== | ||
*[[Crackles]] and [[rhonchi]] may be found. | *[[Crackles]] and [[rhonchi]] may be found. | ||
Revision as of 18:43, 25 May 2017
|
Cytomegalovirus infection Microchapters |
|
Differentiating Cytomegalovirus infection from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Cytomegalovirus infection physical examination On the Web |
|
American Roentgen Ray Society Images of Cytomegalovirus infection physical examination |
|
Risk calculators and risk factors for Cytomegalovirus infection physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Physical Examination
General Appearance of the patient
The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic.
Vitals
Temperature
- Fever can be present.
Pulse
- Tachycardia can be present.
Blood pressure
- Hypotension can be present.
Respiratory rate
- Tachypnea can be seen during fever and respiratory tract infections
HEENT
Eyes
- On fundus examination the following findings can be demonstrated:
- Fluffy yellow-white retinal lesions, with or without intraretinal hemorrhage.
- Inflammation of the vitreous can be demonstrated in patients with severe immunosuppression.
- Blood vessels appear sheathed.
- If left untreated, retinitis is a rapidly progressive condition and on fundus examination it demonstrates a characteristic brushfire pattern, with a granular, white leading edge advancing before an atrophic gliotic scar.
Cardiovascular
- Normal heart sounds
- No murmurs, gallops or rubs
Lungs
- Crackles and rhonchi may be found.
- Dullness to percussion can be present.
- Increased tactile fremitus can be present.
Abdomen
- Abdominal tenderness
- Abdominal distension
Extremities
- Muscle weakness may be present.
Central Nervous System
- Focal neurological deficits
- Behavioral changes
- Gait disturbances