Enterovirus 68 physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Findings in the physical examination in a patient with enterovirus 68 infection include clinical manifestations of a mild to moderate acute upper respiratory tract infection.<ref name="CDC">{{cite web| url=http://www.cdc.gov/non-polio-enterovirus/about/symptoms.html| title=CDC Non-Polio Enterovirus Symptoms}}</ref><ref name="LuWo2013">{{cite journal|last1=Lu|first1=Q.-B.|last2=Wo|first2=Y.|last3=Wang|first3=H.-Y.|last4=Wei|first4=M.-T.|last5=Zhang|first5=L.|last6=Yang|first6=H.|last7=Liu|first7=E.-M.|last8=Li|first8=T.-Y.|last9=Zhao|first9=Z.-T.|last10=Liu|first10=W.|last11=Cao|first11=W.-C.|title=Detection of enterovirus 68 as one of the commonest types of enterovirus found in patients with acute respiratory tract infection in China|journal=Journal of Medical Microbiology|volume=63|issue=Pt_3|year=2013|pages=408–414|issn=0022-2615|doi=10.1099/jmm.0.068247-0}}</ref><ref name="ImamuraSuzuki2014">{{cite journal|last1=Imamura|first1=Tadatsugu|last2=Suzuki|first2=Akira|last3=Lupisan|first3=Socorro|last4=Kamigaki|first4=Taro|last5=Okamoto|first5=Michiko|last6=Roy|first6=Chandra Nath|last7=Olveda|first7=Remigio|last8=Oshitani|first8=Hitoshi|title=Detection of enterovirus 68 in serum from pediatric patients with pneumonia and their clinical outcomes|journal=Influenza and Other Respiratory Viruses|volume=8|issue=1|year=2014|pages=21–24|issn=17502640|doi=10.1111/irv.12206}}</ref><ref name="PirallaGirello2014">{{cite journal|last1=Piralla|first1=Antonio|last2=Girello|first2=Alessia|last3=Grignani|first3=Michela|last4=Gozalo-Margüello|first4=Monica|last5=Marchi|first5=Antonietta|last6=Marseglia|first6=Gianluigi|last7=Baldanti|first7=Fausto|title=Phylogenetic characterization of enterovirus 68 strains in patients with respiratory syndromes in Italy|journal=Journal of Medical Virology|volume=86|issue=9|year=2014|pages=1590–1593|issn=01466615|doi=10.1002/jmv.23821}}</ref><ref name="JacobsonRedd2012">{{cite journal|last1=Jacobson|first1=Lara M.|last2=Redd|first2=John T.|last3=Schneider|first3=Eileen|last4=Lu|first4=Xiaoyan|last5=Chern|first5=Shur-Wern W.|last6=Oberste|first6=M. Steven|last7=Erdman|first7=Dean D.|last8=Fischer|first8=Gayle E.|last9=Armstrong|first9=Gregory L.|last10=Kodani|first10=Maja|last11=Montoya|first11=Jennifer|last12=Magri|first12=Julie M.|last13=Cheek|first13=James E.|title=Outbreak of Lower Respiratory Tract Illness Associated With Human Enterovirus 68 Among American Indian Children|journal=The Pediatric Infectious Disease Journal|volume=31|issue=3|year=2012|pages=309–312|issn=0891-3668|doi=10.1097/INF.0b013e3182443eaf}}</ref> | Findings in the physical examination in a patient with enterovirus 68 infection include clinical manifestations of a mild to moderate acute upper respiratory tract infection.<ref name="CDC">{{cite web| url=http://www.cdc.gov/non-polio-enterovirus/about/symptoms.html| title=CDC Non-Polio Enterovirus Symptoms}}</ref><ref name="LuWo2013">{{cite journal|last1=Lu|first1=Q.-B.|last2=Wo|first2=Y.|last3=Wang|first3=H.-Y.|last4=Wei|first4=M.-T.|last5=Zhang|first5=L.|last6=Yang|first6=H.|last7=Liu|first7=E.-M.|last8=Li|first8=T.-Y.|last9=Zhao|first9=Z.-T.|last10=Liu|first10=W.|last11=Cao|first11=W.-C.|title=Detection of enterovirus 68 as one of the commonest types of enterovirus found in patients with acute respiratory tract infection in China|journal=Journal of Medical Microbiology|volume=63|issue=Pt_3|year=2013|pages=408–414|issn=0022-2615|doi=10.1099/jmm.0.068247-0}}</ref><ref name="ImamuraSuzuki2014">{{cite journal|last1=Imamura|first1=Tadatsugu|last2=Suzuki|first2=Akira|last3=Lupisan|first3=Socorro|last4=Kamigaki|first4=Taro|last5=Okamoto|first5=Michiko|last6=Roy|first6=Chandra Nath|last7=Olveda|first7=Remigio|last8=Oshitani|first8=Hitoshi|title=Detection of enterovirus 68 in serum from pediatric patients with pneumonia and their clinical outcomes|journal=Influenza and Other Respiratory Viruses|volume=8|issue=1|year=2014|pages=21–24|issn=17502640|doi=10.1111/irv.12206}}</ref><ref name="PirallaGirello2014">{{cite journal|last1=Piralla|first1=Antonio|last2=Girello|first2=Alessia|last3=Grignani|first3=Michela|last4=Gozalo-Margüello|first4=Monica|last5=Marchi|first5=Antonietta|last6=Marseglia|first6=Gianluigi|last7=Baldanti|first7=Fausto|title=Phylogenetic characterization of enterovirus 68 strains in patients with respiratory syndromes in Italy|journal=Journal of Medical Virology|volume=86|issue=9|year=2014|pages=1590–1593|issn=01466615|doi=10.1002/jmv.23821}}</ref><ref name="JacobsonRedd2012">{{cite journal|last1=Jacobson|first1=Lara M.|last2=Redd|first2=John T.|last3=Schneider|first3=Eileen|last4=Lu|first4=Xiaoyan|last5=Chern|first5=Shur-Wern W.|last6=Oberste|first6=M. Steven|last7=Erdman|first7=Dean D.|last8=Fischer|first8=Gayle E.|last9=Armstrong|first9=Gregory L.|last10=Kodani|first10=Maja|last11=Montoya|first11=Jennifer|last12=Magri|first12=Julie M.|last13=Cheek|first13=James E.|title=Outbreak of Lower Respiratory Tract Illness Associated With Human Enterovirus 68 Among American Indian Children|journal=The Pediatric Infectious Disease Journal|volume=31|issue=3|year=2012|pages=309–312|issn=0891-3668|doi=10.1097/INF.0b013e3182443eaf}}</ref> | ||
===Vitals=== | ===Vitals=== | ||
Revision as of 15:49, 9 September 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
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Overview
Patients with enterovirus 68 infection develop signs and symptoms of respiratory illness. Findings in the physical exam include fever, tachypnea, skin rash, sore throat, and wheezing.
Physical Examination
Findings in the physical examination in a patient with enterovirus 68 infection include clinical manifestations of a mild to moderate acute upper respiratory tract infection.[1][2][3][4][5]
Vitals
Temperature
- Fever is often present
Pulse
- Tachycardia may be present
Respiratory Rate
- Tachypnea may be present
Skin
Nose
- Nasal discharge
- Nasal flaring (neonates)
Throat
- Erythema and inflammation of the oropharynx, tonsils and soft palate.
Lungs
Abdomen
- Abdominal tenderness may be present
References
- ↑ "CDC Non-Polio Enterovirus Symptoms".
- ↑ Lu, Q.-B.; Wo, Y.; Wang, H.-Y.; Wei, M.-T.; Zhang, L.; Yang, H.; Liu, E.-M.; Li, T.-Y.; Zhao, Z.-T.; Liu, W.; Cao, W.-C. (2013). "Detection of enterovirus 68 as one of the commonest types of enterovirus found in patients with acute respiratory tract infection in China". Journal of Medical Microbiology. 63 (Pt_3): 408–414. doi:10.1099/jmm.0.068247-0. ISSN 0022-2615.
- ↑ Imamura, Tadatsugu; Suzuki, Akira; Lupisan, Socorro; Kamigaki, Taro; Okamoto, Michiko; Roy, Chandra Nath; Olveda, Remigio; Oshitani, Hitoshi (2014). "Detection of enterovirus 68 in serum from pediatric patients with pneumonia and their clinical outcomes". Influenza and Other Respiratory Viruses. 8 (1): 21–24. doi:10.1111/irv.12206. ISSN 1750-2640.
- ↑ Piralla, Antonio; Girello, Alessia; Grignani, Michela; Gozalo-Margüello, Monica; Marchi, Antonietta; Marseglia, Gianluigi; Baldanti, Fausto (2014). "Phylogenetic characterization of enterovirus 68 strains in patients with respiratory syndromes in Italy". Journal of Medical Virology. 86 (9): 1590–1593. doi:10.1002/jmv.23821. ISSN 0146-6615.
- ↑ Jacobson, Lara M.; Redd, John T.; Schneider, Eileen; Lu, Xiaoyan; Chern, Shur-Wern W.; Oberste, M. Steven; Erdman, Dean D.; Fischer, Gayle E.; Armstrong, Gregory L.; Kodani, Maja; Montoya, Jennifer; Magri, Julie M.; Cheek, James E. (2012). "Outbreak of Lower Respiratory Tract Illness Associated With Human Enterovirus 68 Among American Indian Children". The Pediatric Infectious Disease Journal. 31 (3): 309–312. doi:10.1097/INF.0b013e3182443eaf. ISSN 0891-3668.