Rabies physical examination: Difference between revisions
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{{Rabies}} | {{Rabies}} | ||
{{CMG}} | |||
== Overview | == Overview == | ||
Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[Tachycardia]], respiratory collapse, [[hypersalivation]], [[lacrimation]], [[sweating]], [[Pupillary dilation|dilatation of the pupils]] and [[bradycardia]]. Skin findings may include percussion myoedema, bite marks and [[bruises]]. | Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[Tachycardia]], respiratory collapse, [[hypersalivation]], [[lacrimation]], [[sweating]], [[Pupillary dilation|dilatation of the pupils]] and [[bradycardia]]. Skin findings may include percussion myoedema, bite marks and [[bruises]]. | ||
== Physical Examination | == Physical Examination == | ||
=== Vital Signs | === Vital Signs === | ||
* [[Hyperpyrexia]] alternating with [[hypothermia]] | * [[Hyperpyrexia]] alternating with [[hypothermia]] | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
| Line 15: | Line 15: | ||
* [[Bradycardia]] | * [[Bradycardia]] | ||
=== Skin | === Skin === | ||
* Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | * Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | ||
* Bite marks | * Bite marks | ||
* [[Bruises]] | * [[Bruises]] | ||
=== HEENT | === HEENT === | ||
* [[Hypersalivation]] | * [[Hypersalivation]] | ||
*[[Lacrimation]] | *[[Lacrimation]] | ||
| Line 26: | Line 26: | ||
*[[Pupillary dilation|Dilatation of the pupils]] | *[[Pupillary dilation|Dilatation of the pupils]] | ||
=== Neck | === Neck === | ||
* No abnormal findings | * No abnormal findings | ||
=== Lungs | === Lungs === | ||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated. | * Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated. | ||
* [[Wheezing]] may be present due to aspiration or chest infection | * [[Wheezing]] may be present due to aspiration or chest infection | ||
* Normal/reduced [[tactile fremitus]] | * Normal/reduced [[tactile fremitus]] | ||
=== Heart | === Heart === | ||
* [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] normal, soft | * [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] normal, soft | ||
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] normal | * [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] normal | ||
=== Abdomen | === Abdomen === | ||
* [[Guarding]] may be present | * [[Guarding]] may be present | ||
=== Genitourinary | === Genitourinary === | ||
* No abnormal findings | * No abnormal findings | ||
=== Neuromuscular | === Neuromuscular === | ||
* [[Opisthotonos]] | * [[Opisthotonos]] | ||
* [[Altered mental status]] | * [[Altered mental status]] | ||
| Line 53: | Line 53: | ||
* [[Fasciculations]] | * [[Fasciculations]] | ||
=== Extremities | === Extremities === | ||
* Bite marks | * Bite marks | ||
* Muscle [[atrophy]] | * Muscle [[atrophy]] | ||
Revision as of 03:37, 28 September 2017
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Rabies physical examination On the Web |
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American Roentgen Ray Society Images of Rabies physical examination |
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Risk calculators and risk factors for Rabies physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Common physical examination findings of rabies include hyperpyrexia alternating with hypothermia, Tachycardia, respiratory collapse, hypersalivation, lacrimation, sweating, dilatation of the pupils and bradycardia. Skin findings may include percussion myoedema, bite marks and bruises.
Physical Examination
Vital Signs
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin
HEENT
Neck
- No abnormal findings
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated.
- Wheezing may be present due to aspiration or chest infection
- Normal/reduced tactile fremitus
Heart
Abdomen
- Guarding may be present
Genitourinary
- No abnormal findings
Neuromuscular
- Opisthotonos
- Altered mental status
- Increased tendon reflexes with extensor plantar responses
- Flaccid paralysis with generalized areflexia when patient develops coma
- Nuchal rigidity
- Increased muscle tone
- Fasciculations
Extremities
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity