African trypanosomiasis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

Head

• Meningoencephalitis (inflammation of the brain and its covering, the meninges) may be present.

Examination findings	African trypnaosomiasis physical examination
Appearance of the patient	Drowsy Fatigue or tired
Vital Signs	Fever Bradycardia Weight loss
Skin	Chancre at bite site Maculopapular rash
HEENT	Normal
Neck	Cervical lymphadenopathy is more common in the West African Positive Winterbottom sign
Lymph node	Axillary and inguinal lymphadenopathy are more common in East African trypanosomiasis
Lungs	Normal bilateral vesicular breathe sounds
Heart	S1, S2 normal, no murmurs or gallops heard
Abdomen	Hepatosplenomegaly (West African sleeping sickness) Abdominal tenderness
CNS	Irritability Tremors Increased muscle rigidity and tonicity Ataxia Hemiparesis
Musculoskeletal	Joint and muscle aches Positive kerandel sign
Extremities	Edema