Chagas disease physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Chagas disease}} | {{Chagas disease}} | ||
{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{RT}}; {{YD}} | ||
==Overview== | ==Overview== | ||
On physical examination, Chagas disease may manifest with fever, tachycardia, cardiac rhythm abnormalities, hepatosplenomegaly, and lymphadenopathy. Romaña's sign, a classical sign of Chagas disease, is characterized by eyelid sweilling at the site of parasitic entry. Other signs on physical examination are usually due to either cardiac or GI manifestations of the disease. | |||
==Physical Examination== | ==Physical Examination== | ||
=== | ===Vital signs=== | ||
*[[ | *[[Fever]] | ||
*[[ | *[[Tachycardia]] | ||
*[[Bradycardia]] | |||
*[[Tachypnea]] | |||
*[[Irregular pulse]] | |||
===Skin=== | ===Skin=== | ||
*Insect bite wound | |||
*Excoriations due to scratching at site of insect bite | |||
===HEENT=== | ===HEENT=== | ||
*Romaña's sign (swelling of the eyelids at the site of parasitic entry) | |||
[[Image:Chagoma.jpg|thumb|This child from Panama is suffering from Chagas' disease manifested as an acute infection with swelling of the right eye (Romaña's sign). Source: CDC.]] | |||
*[[Lower extremity edema]] | |||
===Neck=== | |||
*[[Cervical lymphadenopathy]] | |||
*[[Jugular venous distention]] | |||
===Cardiac=== | ===Cardiac=== | ||
Positive cardiac findings are due to development of Chagas cardiomyopathy | |||
*S3 or S4 heart sounds | |||
*[[Displaced point of maximal impulse]] (PMI) | |||
To view a comprehensive list of physical exam signs of congestive heart failure, click Congestive heart failure#Physical examination|'''here''']] | |||
===Abdomen=== | ===Abdomen=== | ||
* | *[[Hepatosplenomegaly]] | ||
*[[Abdominal tenderness]] | |||
==References== | ==References== | ||
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[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
Revision as of 20:56, 5 August 2015
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Risk calculators and risk factors for Chagas disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Yazan Daaboul, M.D.
Overview
On physical examination, Chagas disease may manifest with fever, tachycardia, cardiac rhythm abnormalities, hepatosplenomegaly, and lymphadenopathy. Romaña's sign, a classical sign of Chagas disease, is characterized by eyelid sweilling at the site of parasitic entry. Other signs on physical examination are usually due to either cardiac or GI manifestations of the disease.
Physical Examination
Vital signs
Skin
- Insect bite wound
- Excoriations due to scratching at site of insect bite
HEENT
- Romaña's sign (swelling of the eyelids at the site of parasitic entry)
Neck
Cardiac
Positive cardiac findings are due to development of Chagas cardiomyopathy
- S3 or S4 heart sounds
- Displaced point of maximal impulse (PMI)
To view a comprehensive list of physical exam signs of congestive heart failure, click Congestive heart failure#Physical examination|here]]