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 | The physical examination findings in [[strongyloidiasis]] vary and are 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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* [[Dyspnea]] | * [[Dyspnea]] | ||
* Coarse [[rales]] | * Coarse [[rales]] | ||
* [[Wheezing]] resulting from [[bronchospasms]] | * [[Wheezing]] resulting from [[Bronchospasm|bronchospasms]] | ||
===Abdomen=== | ===Abdomen=== | ||
Physical examination of abdomen may reveal: | Physical examination of the abdomen may reveal: | ||
* [[Abdominal tenderness]] | * [[Abdominal tenderness]] | ||
**Secondary to [[intestinal obstruction]], [[appendicitis]], [[biliary colic]], | **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]] | ||
Revision as of 19:52, 1 August 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 are 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
Fever may be seen in strongyloidiasis.
- Low-grade fever may occur in some patients with strongyloidiasis
- High-grade fever
- In complications such as acute cholangitis and hepatic abscess
HEENT
- Icteric sclera secondary to obstructive jaundice
Chest
Eosinophilic pneumonia (löffler's syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:
- Dyspnea
- Coarse rales
- Wheezing resulting from bronchospasms
Abdomen
Physical examination of the abdomen may reveal:
- Abdominal tenderness
- Secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc.
- Abdominal distension
- Signs of acute bowel obstruction
Skin
Patients may 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.