Shigellosis physical examination

Shigellosis Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Classification
Causes
Differentiating Shigellosis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Primary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Shigellosis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Shigellosis physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Shigellosis physical examination
CDC on Shigellosis physical examination
Shigellosis physical examination in the news
Blogs on Shigellosis physical examination
Directions to Hospitals Treating Shigellosis
Risk calculators and risk factors for Shigellosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Yazan Daaboul; Serge Korjian

Overview

Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 25% to 40% of cases. Less commonly, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.

Shigellosis Physical Examination

General Appearance

• Lethargic
• Toxic-appearing

Vital Signs

Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:

• Fever
• Tachycardia
• Tachypnea
• Hypotension

Skin

• Poor skin turgor

HEENT

• Conjunctival pallor
• Xerophthalmia (dry eyes)
• Xerostomia (dry oral mucous membranes)

Abdomen

• Distended bowels
• Hyperactive bowel sounds
• Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of the distal sigmoid colon and/or rectum.

Vascular

• Flat jugular vein
• Prolonged capillary refill time

References

Template:WikiDoc Sources