Microsporidiosis physical examination: Difference between revisions
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*[[Fever]] is rare | *[[Fever]] is rare | ||
*Heart rate is usually maintained within normal limits | *[[Heart rate]] is usually maintained within normal limits | ||
*Respiratory rate is maintained within normal limits | *[[Respiratory rate]] is maintained within normal limits | ||
*Blood pressure is usually maintained within normal limits | *[[Blood pressure]] is usually maintained within normal limits | ||
===HEENT=== | ===HEENT=== | ||
*If ocular microsporidiasis is present, it may manifest as superficial [[Punctate keratitis|punctate]] or [[Keratitis|stromal keratitis]]: | *If ocular microsporidiasis is present, it may manifest as superficial [[Punctate keratitis|punctate]] or [[Keratitis|stromal keratitis]]: | ||
*[[Slit lamp]] examination might reveal: | *[[Slit lamp]] examination might reveal: | ||
:*Conjunctival | :*[[Conjunctival]] [[Hyperaemia|hyperemia]] | ||
:*Corneal clouding | :*Corneal clouding | ||
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===Cardiovascular=== | ===Cardiovascular=== | ||
* | *Cardiovascular examination findings are usually within normal limits | ||
===Abdomen=== | ===Abdomen=== | ||
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*[[Right upper quadrant|Right upper quadrant tenderness]] if [[cholecystitis]] ensues. | *[[Right upper quadrant|Right upper quadrant tenderness]] if [[cholecystitis]] ensues. | ||
=== | ===Extremities=== | ||
Muscle tenderness if [[myositis]] is present. | Muscle [[tenderness]] if [[myositis]] is present. | ||
==References== | ==References== | ||
Revision as of 16:55, 10 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Patients with microsporidiosis usually appear ill. Physical examination of patients with microsporidiosis is usually remarkable for weight loss, wasting and abdominal tenderness.[1]
Physical examination
General look
Patient looks ill with signs of wasting and malnourishment especially if chronic diarrhea is associated.[1][2]
Vital signs
- Fever is rare
- Heart rate is usually maintained within normal limits
- Respiratory rate is maintained within normal limits
- Blood pressure is usually maintained within normal limits
HEENT
- If ocular microsporidiasis is present, it may manifest as superficial punctate or stromal keratitis:
- Slit lamp examination might reveal:
- Conjunctival hyperemia
- Corneal clouding
Chest
- Chest examination findings are usually within normal limits
Cardiovascular
- Cardiovascular examination findings are usually within normal limits
Abdomen
- Decreased abdominal girth and weight loss due to chronic diarrhea
- Right upper quadrant tenderness if cholecystitis ensues.
Extremities
Muscle tenderness if myositis is present.
References
- ↑ 1.0 1.1 Sandfort J, Hannemann A, Gelderblom H, Stark K, Owen RL, Ruf B (1994). "Enterocytozoon bieneusi infection in an immunocompetent patient who had acute diarrhea and who was not infected with the human immunodeficiency virus". Clin. Infect. Dis. 19 (3): 514–6. PMID 7811871.
- ↑ Weber R, Bryan RT, Schwartz DA, Owen RL (1994). "Human microsporidial infections". Clin. Microbiol. Rev. 7 (4): 426–61. PMC 358336. PMID 7834600.