Shigellosis physical examination: Difference between revisions
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{{Shigellosis}} | {{Shigellosis}} | ||
==Overview== | ==Overview== | ||
Patients with shigellosis commonly appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 30 to 40% of cases. Rarely, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes. | |||
==Shigellosis Physical Examination== | |||
===General Appearance=== | |||
*Lethargic | |||
*Toxic-appearing | |||
===Vital Signs=== | |||
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements: | |||
*Fever | |||
*Tachycardia | |||
*Tachypnea | |||
*Hypotension | |||
===Skin=== | |||
*Poor skin turgor | |||
===HEENT=== | |||
*Conjunctival pallor | |||
*Dry mucous membranes | |||
===Abdomen=== | |||
*Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of distal sigmoid colon and rectum. | |||
===Vascular=== | |||
*Flat jugular vein | |||
*Prolonged capillary refill time | |||
==References== | ==References== | ||
Revision as of 03:48, 6 April 2015
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Overview
Patients with shigellosis commonly appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 30 to 40% of cases. Rarely, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.
Shigellosis Physical Examination
General Appearance
- Lethargic
- Toxic-appearing
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:
- Fever
- Tachycardia
- Tachypnea
- Hypotension
Skin
- Poor skin turgor
HEENT
- Conjunctival pallor
- Dry mucous membranes
Abdomen
- Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of distal sigmoid colon and rectum.
Vascular
- Flat jugular vein
- Prolonged capillary refill time