Congenital rubella syndrome physical examination: Difference between revisions

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== Physical Examination ==
== Physical Examination ==
 
{| class="wikitable" style="border: 2; background: none;"
Children who have been exposed to rubella in the womb should also be watched closely as they age for any indication of the following:
! colspan="1" rowspan="1" style="border: 1; background: 1;" |Organ System
 
! colspan="1" rowspan="1" |Findings
=== Appearance ===
! colspan="3" rowspan="1" |Suggestive of
 
|-
* [[Developmental delay]]
! rowspan="2" style="border: 1; background: none;" |Skin
* [[Growth retardation]]
|||[[Thrombocytopenic purpura]]
 
|-
=== Skin ===
|Yellow discoloration of the [[skin]] and [[mucous membranes]]
 
|[[Obstructive jaundice]]
* [[Purpura]]
|-
 
! rowspan="4" style="border: 1; background: none;" |Eyes
=== Head ===
|||[[Cataracts]]
 
|-
* [[Microcephaly]]
|||[[Congenital]] [[glaucoma]]
 
|-
=== Eyes ===
|||Pigmentary [[retinopathy]]
 
|-
* [[Cataracts]]
|Yellow discoloration of the [[sclera]]
* Congenital [[glaucoma]]
|[[Obstructive jaundice]]
* Pigmentary [[retinopathy]]
|-
* [[Jaundice]]
! rowspan="1" style="border: 1; background: none;" |Ears
 
|||[[Sensorineural hearing loss]]
=== Ears ===
|-
 
! rowspan="4" style="border: 1; background: none;" |'''Heart'''
* [[Hearing impairment]]
|||[[Ventricular septal defect|Ventricular septal defect (VSD)]]
 
|-
=== Heart ===
|||[[Patent ductus arteriosus (PDA)]]
 
|-
* [[Congenital heart disease]] (most commonly [[patent ductus arteriosus]] or peripheral [[pulmonary artery stenosis]])
|
 
|[[Aortic coarctation|Coarctation of the aorta]]
=== Abdomen ===
|-
 
|
* [[Hepatosplenomegaly]]
|[[Pulmonary artery stenosis]]
 
|-
=== Neurologic ===
! style="border: 1; background: none;" |Abdomen
 
|[[Hepatosplenomegaly|Hepatosplenomegaly (HSM)]]||
* [[Meningoencephalitis]]
|-
! rowspan="3" |Neurological
!
|[[Microcephaly]]
|-
|
|[[Encephalitis]]
|-
|
|[[Mental retardation]]
|}
*


== References ==
== References ==

Revision as of 00:02, 6 January 2017


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]

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Overview

Congenital rubella syndrome is characterized by triad of sensorineural deafness, eye abnormalties (cataracts, retinopathy) and heart defects (PDA).

Physical Examination

Organ System Findings Suggestive of
Skin Thrombocytopenic purpura
Yellow discoloration of the skin and mucous membranes Obstructive jaundice
Eyes Cataracts
Congenital glaucoma
Pigmentary retinopathy
Yellow discoloration of the sclera Obstructive jaundice
Ears Sensorineural hearing loss
Heart Ventricular septal defect (VSD)
Patent ductus arteriosus (PDA)
Coarctation of the aorta
Pulmonary artery stenosis
Abdomen Hepatosplenomegaly (HSM)
Neurological Microcephaly
Encephalitis
Mental retardation

References

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