Blastomycosis physical examination: Difference between revisions
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===Lungs=== | ===Lungs=== | ||
Revision as of 17:47, 7 March 2017
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Blastomycosis Microchapters |
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Blastomycosis physical examination On the Web |
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Risk calculators and risk factors for Blastomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2], Vidit Bhargava, M.B.B.S [3]
Overview
The physical manifestations of the disease depends on the organ of involvement. In the order of incidence the most commonly involved organs are lungs, skin, bones, genitourinary system, central nervous system and other organs.
Physical Examination
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
Lymph nodes
- Non-tender, no palpable masses
Neck
- No masses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as[2]
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Skin
- Ulcerative lesions that bleed easily
- Verrucous lesions with irregular border and variegated appearance
- In cases with skin involvement from inoculation regional lymph node enlargement may be seen.
Bone and joints
- Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
- Arthritis can cause reproducible pain in joints.
Genitourinary system
Extremities
- Ulcers that bleed on touch
Neurological
Normal unless the infection is disseminated to brain resulting in meningits
- Altered level of consciousness
- Nuchal rigidity
Gallery
References
- ↑ Smith JA, Gauthier G (2015). "New Developments in Blastomycosis". Semin Respir Crit Care Med. 36 (5): 715–28. doi:10.1055/s-0035-1562898. PMID 26398538.
- ↑ Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.