Coccidioidomycosis physical examination: Difference between revisions
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{{Coccidioidomycosis}} | {{Coccidioidomycosis}} | ||
{{CMG}}; {{AE}}; {{VB}} | |||
==Physical Findings== | |||
There are no pathognomic signs for Coccidioidomycosis, however numerous findings are observed depending on the organ system involved. Features suggestive of disseminated disease include :- profuse sweating, dyspnea, high grade fever and weight loss. Specific findings :- | |||
==Respiratory system== | |||
* Bronchial breathing. | |||
* Rales & Ronchi | |||
* Areas of consolidation with resultant dullness to percussion , and increased tactile and vocal fremitus. | |||
* 5-10% cases may develop pulmonary nodules which may resolve spontaneously or may ulcerate and cause hemoptysis. | |||
==Skin manifestations== | |||
[[Image:Erythema-nodosum.jpg|200px]] | |||
[[Erythema nodosum]] presenting as tender, erythematous nodules, about 1-2 cm in size are classic in endemic areas. | |||
Ocular hypersensitivity is a frequent finding presenting as episcleritis,conjunctivitis, sclerities. Cutaneous hypersensitivity sometimes occur and needs to be differentiated from cutaneous involvement which is a bad prognostic sign. | |||
classical skin manifestation of coccidioidomycosis is a verrucous granuloma at the nasolabial fold. | |||
==References== | ==References== | ||
Revision as of 21:14, 19 November 2013
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Coccidioidomycosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Coccidioidomycosis physical examination On the Web |
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American Roentgen Ray Society Images of Coccidioidomycosis physical examination |
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Risk calculators and risk factors for Coccidioidomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2]
Physical Findings
There are no pathognomic signs for Coccidioidomycosis, however numerous findings are observed depending on the organ system involved. Features suggestive of disseminated disease include :- profuse sweating, dyspnea, high grade fever and weight loss. Specific findings :-
Respiratory system
- Bronchial breathing.
- Rales & Ronchi
- Areas of consolidation with resultant dullness to percussion , and increased tactile and vocal fremitus.
- 5-10% cases may develop pulmonary nodules which may resolve spontaneously or may ulcerate and cause hemoptysis.
Skin manifestations
Erythema nodosum presenting as tender, erythematous nodules, about 1-2 cm in size are classic in endemic areas.
Ocular hypersensitivity is a frequent finding presenting as episcleritis,conjunctivitis, sclerities. Cutaneous hypersensitivity sometimes occur and needs to be differentiated from cutaneous involvement which is a bad prognostic sign.
classical skin manifestation of coccidioidomycosis is a verrucous granuloma at the nasolabial fold.