Smallpox physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
Depending on the stage of the disease, the smallpox patient | Depending on the stage of the disease, the [[smallpox]] patient may have different appearances. These may range from | ||
* Asymptomatic, if | * [[Asymptomatic]], if it is a patient who had contact with someone with [[smallpox]], got the [[infection]], and is currently in the ''incubation period'' | ||
* Extremely ill, if it is someone who is in the ''prodromal period'' | * Extremely ill, if it is someone who is in the ''prodromal period'' and appears extremely ill, is [[vomiting]] and [[fatigue|fatigued]] | ||
===Vitals=== | ===Vitals=== | ||
====Temperature==== | ====Temperature==== | ||
*A [[fever]] is often present | * A [[fever]] is often present, particularly if in the ''prodromal period'' | ||
=====Rate===== | =====Rate===== | ||
*[[Tachycardia]] is often present | * [[Tachycardia]] is often present | ||
====Blood Pressure==== | ====Blood Pressure==== | ||
*[[Hypotension]] may be present | * [[Hypotension]] may be present | ||
===Skin=== | ===Skin=== | ||
* A rash is often present | * A [[rash]] is often present | ||
* Lesions may be present | * Lesions may be present | ||
===Eyes=== | ===Eyes=== | ||
* Extra-ocular movements may be abnormal | * Extra-ocular movements may be abnormal | ||
*Pupils may not react to light | * [[Pupils]] may not react to light | ||
* | * [[Sclera]] may show [[inflammation]], [[ulceration]] and/or [[hemorrhage]] | ||
===Throat=== | ===Throat=== | ||
* The throat may be erythematous | * The throat may be [[erythematous]] | ||
* There may be [[exudate]] in the throat | * There may be [[exudate]] in the [[throat]] | ||
* There may be [[petechiae]] seen in the throat | * There may be [[petechiae]] seen in the [[throat]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] may be present | * [[Abdominal distention]] may be present | ||
*[[Abdominal tenderness]] may be present | * [[Abdominal tenderness]] may be present | ||
*[[Hepatomegaly]] may be present | * [[Hepatomegaly]] may be present | ||
*[[Splenomegaly]] may be present | * [[Splenomegaly]] may be present | ||
===Extremities=== | ===Extremities=== | ||
*[[Edema]] may be present | * [[Edema]] may be present | ||
===Neurologic=== | ===Neurologic=== | ||
Revision as of 00:18, 11 July 2014
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Smallpox Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Smallpox physical examination On the Web |
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American Roentgen Ray Society Images of Smallpox physical examination |
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Risk calculators and risk factors for Smallpox physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Physical Examination
Appearance of the Patient
Depending on the stage of the disease, the smallpox patient may have different appearances. These may range from
- Asymptomatic, if it is a patient who had contact with someone with smallpox, got the infection, and is currently in the incubation period
- Extremely ill, if it is someone who is in the prodromal period and appears extremely ill, is vomiting and fatigued
Vitals
Temperature
- A fever is often present, particularly if in the prodromal period
Rate
- Tachycardia is often present
Blood Pressure
- Hypotension may be present
Skin
- A rash is often present
- Lesions may be present
Eyes
- Extra-ocular movements may be abnormal
- Pupils may not react to light
- Sclera may show inflammation, ulceration and/or hemorrhage
Throat
- The throat may be erythematous
- There may be exudate in the throat
- There may be petechiae seen in the throat
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present
- Hepatomegaly may be present
- Splenomegaly may be present
Extremities
- Edema may be present
Neurologic
- Mental status may be altered
Images
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Man with smallpox -
Smallpox lesions on skin of trunk. Picture taken in Bangladesh, 1973. -
These smallpox pustules are round, smooth, deep, and all at the same stage. -
Smallpox eruptions on arm and palm. -
This photograph depicted a male smallpox patient whose skin displayed the characteristics of late-stage maculopapular scarring on his face, arms and chest.
