Yellow fever physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical findings include fever, scleral and dermal icterus, hemorrhages (e.g., hematemesis, melena, petechiae, ecchymoses), and epigastric tenderness with or without hepatomegaly.

Physical Examination

Vitals

• Fever
• Bradycardia (Fager sign) or tachycardia
• Hypotension

Skin

• Jaundice
• Petechiae
• Purpura

Eyes

• Scleral icterus
• Conjuntival injection

Abdomen

• Epigastric tenderness

• Diffuse tenderness
• Hepatomegaly

Neurologic

• Altered mental status
• Delirium (seen in the toxic phase)
• Seizures (seen in the toxic phase)
• Coma (seen in the toxic phase)

References

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