Cytomegalovirus infection physical examination: Difference between revisions
No edit summary |
|||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic. On fundus examination fluffy yellow-white retinal lesions, with or without intraretinal hemorrhages can be demonstrated in patients with CMV retinitis. Abdominal distension and tenderness can be present on examination in patients with CMV colitis. In patients with CMV encephalitis altered mental status and focal neurological deficits are present. | The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic. On [[fundus]] examination fluffy yellow-white retinal lesions, with or without intraretinal [[hemorrhages]] can be demonstrated in patients with [[CMV]] [[retinitis]]. [[Abdominal distension]] and [[tenderness]] can be present on examination in patients with [[CMV colitis]]. In patients with [[CMV]] [[encephalitis]] [[altered mental status]] and focal neurological deficits are present. | ||
==Physical Examination== | ==Physical Examination== | ||
| Line 12: | Line 12: | ||
===Vitals=== | ===Vitals=== | ||
=====Temperature===== | =====Temperature===== | ||
*[[Fever]] | *[[Fever]] | ||
=====Pulse===== | =====Pulse===== | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
=====Blood pressure===== | =====Blood pressure===== | ||
*[[Hypotension]] | *[[Hypotension]] | ||
==== Respiratory rate ==== | |||
*[[Tachypnea]] | *[[Tachypnea]] | ||
===HEENT=== | ===HEENT=== | ||
'''Eyes'''<br> | '''Eyes'''<br> | ||
On fundus examination the following findings can be demonstrated in patients with CMV retinitis: | On fundus examination the following findings can be demonstrated in patients with [[CMV]] [[retinitis]]: | ||
*Fluffy yellow-white retinal lesions, with or without intraretinal hemorrhage. | *Fluffy yellow-white retinal lesions, with or without intraretinal hemorrhage. | ||
*[[Inflammation]] of the [[vitreous]] can be demonstrated in patients with severe [[immunosuppression]]. | *[[Inflammation]] of the [[vitreous]] can be demonstrated in patients with severe [[immunosuppression]]. | ||
*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=== | ===Cardiovascular=== | ||
*Normal heart sounds | *Normal [[heart sounds]] | ||
*No [[murmurs]], gallops or rubs | *No [[murmurs]], gallops or rubs | ||
===Lungs=== | ===Lungs=== | ||
*[[Crackles]] and [[rhonchi]] may be heard in patients with CMV pneumonitis. | *[[Crackles]] and [[rhonchi]] may be heard in patients with [[CMV]] [[pneumonitis]]. | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
*Abdominal distension can be present on examination in patients with CMV colitis. | *[[Abdominal distension]] can be present on examination in patients with [[CMV]] [[colitis]]. | ||
===Central Nervous System=== | ===Central Nervous System=== | ||
The following examination findings can be present in CMV encephalitis: | The following examination findings can be present in [[CMV]] [[encephalitis]]: | ||
*Focal neurological deficits | *Focal neurological deficits | ||
*[[Altered mental status]] | *[[Altered mental status]] | ||
*[[Hypotonia]] | *[[Hypotonia]] | ||
*Normal or diminished deep [[tendon]] [[reflexes]] | *Normal or diminished deep [[tendon]] [[reflexes]] | ||
Revision as of 17:50, 30 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
The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic. On fundus examination fluffy yellow-white retinal lesions, with or without intraretinal hemorrhages can be demonstrated in patients with CMV retinitis. Abdominal distension and tenderness can be present on examination in patients with CMV colitis. In patients with CMV encephalitis altered mental status and focal neurological deficits are present.
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
Pulse
Blood pressure
Respiratory rate
HEENT
Eyes
On fundus examination the following findings can be demonstrated in patients with CMV retinitis:
- 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 heard in patients with CMV pneumonitis.
Abdomen
- Abdominal tenderness
- Abdominal distension can be present on examination in patients with CMV colitis.
Central Nervous System
The following examination findings can be present in CMV encephalitis:
- Focal neurological deficits
- Altered mental status
- Hypotonia
- Normal or diminished deep tendon reflexes