Lassa fever physical examination: Difference between revisions
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* Persistent, high-grade [[fever]] | * Persistent, high-grade [[fever]] | ||
*[[Tachycardia]] or relative [[bradycardia]] | *[[Tachycardia]] or relative [[bradycardia]] | ||
[[Hypotension]] | *[[Hypotension]] | ||
*Tachypnea | *Tachypnea | ||
Revision as of 20:33, 9 June 2015
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Lassa fever Microchapters |
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Lassa fever physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Synonyms and keywords: Lassa hemorrhagic fever; LHF
Overview
Persistent, high-grade fever is the most common sign on physical examination. Other common signs on physical examination include tachycardia, tachypnea, conjunctival injection, abdominal/chest tenderness, pharyngitis with tonsillar exudates, and hepatosplenomegaly.
Physical Examination
General Appearance
- In distress
- Ill-looking[1].
Vital Signs
- Persistent, high-grade fever
- Tachycardia or relative bradycardia
- Hypotension
- Tachypnea
Skin
- Uncontrolled bleeding from venipuncture sites
- Jaundice
HEENT and Neck
- Nasal flaring
- Epistaxis
- Nasal discharge
- Hearing impairment (abnormal Renne and Weber tests)
- Mucosal hyperemia of the oral cavity
- Pharyngitis with exudation
- Cervical lymphadenopathy
Thoracic
- Paradoxical breathing
- Chest tenderness
Abdomen
- Abdominal tenderness
- Abdominal distention
- Tender hepatomegaly
- Splenomegaly
- Bowel sounds may be hyperactive (bleeding) or hypoactive (ileus)
Extremities
- Extremity edema
Neurologic
References
- ↑ Kyei NN, Abilba MM, Kwawu FK, Agbenohevi PG, Bonney JH, Agbemaple TK; et al. (2015). "Imported Lassa fever: a report of 2 cases in Ghana". BMC Infect Dis. 15 (1): 217. doi:10.1186/s12879-015-0956-2. PMC 4448534. PMID 26022703.