Strongyloidiasis physical examination: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
The physical examination findings in strongyloidiasis vary and it is usually dependent on the worm burden and the involved organ.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref> | The physical examination findings in [[strongyloidiasis]] vary and it is usually dependent on the worm burden and the involved organ.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref> | ||
==Physical examination== | ==Physical examination== | ||
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Most patients generally appear well with minimal or no symptoms on physical examination. | Most patients generally appear well with minimal or no symptoms on physical examination. | ||
===Vital signs=== | ===Vital signs=== | ||
A low-grade [[fever]] may occur in some patients with | A low-grade [[fever]] may occur in some patients with [[strongyloidiasis]]. | ||
A high grade [[fever]] may be seen when there are complications such as: | A high grade [[fever]] may be seen when there are complications such as: | ||
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===HEENT=== | ===HEENT=== | ||
Anicteric sclera due to [[Jaundice|obstructive jaundice]] may be seen. | |||
===Chest=== | ===Chest=== | ||
Eosinophilic pneumonia (löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings | [[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[löffler's syndrome]]) may occur in severe cases with the patient presenting with the following physical examination findings | ||
* [[Dyspnea]] | * [[Dyspnea]] | ||
* Dry [[rales]] | * Dry [[rales]] | ||
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===Abdomen=== | ===Abdomen=== | ||
* Abdominal tenderness- Abdominal tenderness can be secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], acute [[cholangitis]], [[acute cholecystitis]], [[hepatic abscess]], etc | * [[Abdominal tenderness]]- [[Abdominal tenderness]] can be secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], acute [[cholangitis]], [[acute cholecystitis]], [[hepatic abscess]], etc | ||
* [[Abdominal distension]] | * [[Abdominal distension]] | ||
* Signs of acute [[bowel obstruction]] | * Signs of acute [[bowel obstruction]] | ||
===Skin=== | ===Skin=== | ||
The patients with | The patients with can present with [[urticaria]]. | ||
==References== | ==References== | ||
Revision as of 16:30, 30 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The physical examination findings in strongyloidiasis vary and it is usually dependent on the worm burden and the involved organ.[1]
Physical examination
General appearance
Most patients generally appear well with minimal or no symptoms on physical examination.
Vital signs
A low-grade fever may occur in some patients with strongyloidiasis.
A high grade fever may be seen when there are complications such as:
- Acute cholangitis
- Hepatic abscess
HEENT
Anicteric sclera due to obstructive jaundice may be seen.
Chest
Eosinophilic pneumonia (löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings
- Dyspnea
- Dry rales
- Wheezing resulting from bronchospasms
Abdomen
- Abdominal tenderness- Abdominal tenderness can be secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc
- Abdominal distension
- Signs of acute bowel obstruction
Skin
The patients with can present with urticaria.
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.