Q fever physical examination: Difference between revisions
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===Vital signs:=== | ===Vital signs:=== | ||
*[[Fever]]: [[Fever|High grade fevers]] that is usually accompanied by [[chills]] and [[sweats]] | *[[Fever]]: [[Fever|High grade fevers]] that is usually accompanied by [[chills]] and [[sweats]]<ref name="pmid88923">{{cite journal |vauthors=Ishikawa H, Maeda H, Takamatsu H, Saito Y |title=Systemic hyalinosis (juvenile hyaline fibromatosis). Ultrastructure of the hyaline with particular reference to the cross-banded structure |journal=Arch. Dermatol. Res. |volume=265 |issue=2 |pages=195–206 |year=1979 |pmid=88923 |doi= |url=}}</ref><ref name="pmid17423643">{{cite journal |vauthors=Marrie TJ |title=Q fever - a review |journal=Can. Vet. J. |volume=31 |issue=8 |pages=555–63 |year=1990 |pmid=17423643 |pmc=1480833 |doi= |url=}}</ref> | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
Revision as of 21:02, 8 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination:
Vital signs:
- Fever: High grade fevers that is usually accompanied by chills and sweats[1][2]
- Tachycardia
- Tachypnea
General:
- Patient looks ill
Skin:
- Maculopapular or punctate rash
- Erythema nodosum
- Spider nevi if hepatic decompensation is present
HEENT:
- Jaundice
- Congested neck veins if endocarditis or myocarditis is complicated by heart failure
Lungs:
- Minimal auscultatory findings in most of the cases
- Crackles especially in the lower lung fields
- Decreased breath sounds if pleural effusion is present
Abdomen:
- Hepatomegaly
- Ascites if chronic hepatitis ensues
Heart:
- S3 due to hyperdynamic circulation
- New onset murmer if endocarditis is present
- Pericardial rub and distant heart sounds if pericarditis and pericardial effusion is present
Neurological examination:
- Neck rigidity and positive brudsiniski and kuring signs
- Signs of increased intracranial pressure (vomiting, convulsions, papilledema, etc)
Extremities:
- Tenderness on palpation of the affected joints and bones
- Lower limb edema in presence of heart failure
References
- ↑ Ishikawa H, Maeda H, Takamatsu H, Saito Y (1979). "Systemic hyalinosis (juvenile hyaline fibromatosis). Ultrastructure of the hyaline with particular reference to the cross-banded structure". Arch. Dermatol. Res. 265 (2): 195–206. PMID 88923.
- ↑ Marrie TJ (1990). "Q fever - a review". Can. Vet. J. 31 (8): 555–63. PMC 1480833. PMID 17423643.