Strongyloidiasis physical examination: Difference between revisions
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*Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]] | *Low-grade [[fever]] may occur in some patients with [[strongyloidiasis]] | ||
*High-grade [[fever]] | *High-grade [[fever]] | ||
** | **Present in complications such as [[cholangitis|acute cholangitis]] and [[hepatic abscess]] | ||
===HEENT=== | ===HEENT=== | ||
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===Chest=== | ===Chest=== | ||
[[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[ | [[Eosinophilic Pneumonias|Eosinophilic pneumonia]] ([[Löffler's syndrome]]) may occur in severe cases with the patient presenting with the following physical examination findings: | ||
* [[Dyspnea]] | * [[Dyspnea]] | ||
* Coarse [[rales]] | * Coarse [[rales]] | ||
Revision as of 14:45, 3 August 2017
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Strongyloidiasis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Strongyloidiasis physical examination On the Web |
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American Roentgen Ray Society Images of Strongyloidiasis physical examination |
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Risk calculators and risk factors for Strongyloidiasis physical examination |
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
- Present 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.