Escherichia coli enteritis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Escherichia coli enteritis}} | {{Escherichia coli enteritis}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} {{YD}} {{SSK}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with ''E. coli'' enteritis may be remarkable for [[abdominal tenderness]] and signs of [[dehydration]], such as abnormal [[orthostatic vital signs]], reduced [[skin turgor]], [[slow capillary refill]], and dry mucous membranes. Physical examination among patients with severe dehydration may be remarkable for [[altered mental status]]. Physical examination may also be remarkable for findings suggestive of complications of the ''E. coli'' enteritis (e.g. hemolytic uremic syndrome), such as skin [[pallor]], [[petechiae]], and [[bruise]]s. | |||
==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
*Ill-appearing | *Ill-appearing | ||
| Line 21: | Line 22: | ||
*Sunken eyes | *Sunken eyes | ||
*Absent tears in children | *Absent tears in children | ||
*[[Dry mucous membranes]] | *[[Mucous membranes|Dry mucous membranes]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal tenderness]] (usually diffuse) | *[[Abdominal tenderness]] (usually diffuse) | ||
*[[Bloody stools]] and/or | *[[Bloody stools]] and/or rectal tenderness may be present on [[rectal examination]] | ||
===Neurologic=== | |||
*[[Altered mental status]] may be present in cases of severe dehydration, especially among elderly and pediatric patients | *[[Altered mental status]] may be present in cases of severe dehydration, especially among elderly and pediatric patients | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 19:23, 9 December 2015
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Escherichia coli enteritis Microchapters |
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Differentiating Escherichia coli enteritis from other Diseases |
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Diagnosis |
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Treatment |
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Escherichia coli enteritis physical examination On the Web |
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American Roentgen Ray Society Images of Escherichia coli enteritis physical examination |
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Risk calculators and risk factors for Escherichia coli enteritis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, M.D. Serge Korjian M.D.
Overview
Physical examination of patients with E. coli enteritis may be remarkable for abdominal tenderness and signs of dehydration, such as abnormal orthostatic vital signs, reduced skin turgor, slow capillary refill, and dry mucous membranes. Physical examination among patients with severe dehydration may be remarkable for altered mental status. Physical examination may also be remarkable for findings suggestive of complications of the E. coli enteritis (e.g. hemolytic uremic syndrome), such as skin pallor, petechiae, and bruises.
Physical Examination
General Appearance
- Ill-appearing
- Crying (in pediatric patients)
Vital Signs
- Fever (usually absent)
- Tachycardia
- Tachypnea
- Orthostatic hypotension may be suggestive of dehydration (due to vomiting and diarrhea)
Skin
- Reduced skin turgor
- Slow capillary refill
- Skin pallor or petechiae may be suggestive of hemolysis among patients who develop hemolytic uremic syndrome
HEENT
- Sunken fontanelles in infants
- Sunken eyes
- Absent tears in children
- Dry mucous membranes
Abdomen
- Abdominal tenderness (usually diffuse)
- Bloody stools and/or rectal tenderness may be present on rectal examination
Neurologic
- Altered mental status may be present in cases of severe dehydration, especially among elderly and pediatric patients