Brucellosis physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
**
*Patients are usually well-appearing<ref name="aa">Madkour M. Madkour's Brucellosis. Springer Science & Business Media; 2012.</ref>
 
===Neck===
*Cervical [[lymphadenopathy]]
 
===Lungs===
*Increased [[tactile fremitus]]
*Dullness on [[Percussion of the lungs|percussion]]
*Decreased [[breath sounds]]
*Bronchial [[breath sounds]]
*[[Rhonchi]]
*[[Crackles]], [[Rales]]
*Increased vocal [[fremitus]]
**May be present in [[lobar pneumonia]]
 
===Heart===
*Heart murmurs
**May be present in [[infective endocarditis]]
 
===Abdomen===
*[[Hepatomegaly]]
*[[Splenomegaly]]
*[[Lymphadenopathy]]
 
===Genitourinary===
*Inguinal [[lymphadenopathy]]
*Positive [[Prehn's sign]]
**May be present in [[epididymitis]]
*Swollen testicle or testicles
**May be present in [[orchitis]]
 
===Extremities===
*Knee, hips, ankles and wrists:
**Fluid around a joint
**Warm, red, tender joints
**Difficulty moving a joint (called "limited range of motion")
**May be present in peripheral [[arthritis]]
*Pain around sacroiliac joints
**May be present in [[sacroiliitis]]
*Positive [[Schober's test]]
**May be present in [[spondylitis]]
 
===Neuromuscular===
*[[Nuchal rigidity]]
*[[Kernig's sign]]
*[[Brudzinski's sign]]
**May be present in [[meningitis]]<ref name="pmid15930423">{{cite journal| author=Pappas G, Akritidis N, Bosilkovski M, Tsianos E| title=Brucellosis. | journal=N Engl J Med | year= 2005 | volume= 352 | issue= 22 | pages= 2325-36 | pmid=15930423 | doi=10.1056/NEJMra050570 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15930423  }} </ref>


==Reference==
==Reference==

Revision as of 16:45, 4 January 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza Lukac

Overview

Patients with brucellosis are usually well-appearing.[1] Common physical examination findings include hepatomegaly, splenomegaly, and lymphadenopathy.[2]

Physical Examination

Reference

  1. ↑ Madkour M. Madkour's Brucellosis. Springer Science & Business Media; 2012.
  2. ↑ Pappas G, Akritidis N, Bosilkovski M, Tsianos E (2005). "Brucellosis". N Engl J Med. 352 (22): 2325–36. doi:10.1056/NEJMra050570. PMID 15930423.
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