Leptospirosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination Findings== | ==Physical Examination Findings== | ||
<ref name="Budihal2014">{{cite journal|last1=Budihal|first1=Suman Veerappa|title=Leptospirosis Diagnosis: Competancy of Various Laboratory Tests|journal=JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH|year=2014|issn=2249782X|doi=10.7860/JCDR/2014/6593.3950}}</ref><ref name="pmid14902167">{{cite journal| author=BEESON PB, HANKEY DD| title=Leptospiral meningitis. | journal=AMA Arch Intern Med | year= 1952 | volume= 89 | issue= 4 | pages= 575-83 | pmid=14902167 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14902167 }} </ref><ref name="pmid1224630">{{cite journal| author=King SD, Urquhart AE| title=Laboratory investigations on four cases of leptospiral meningitis in Jamaica. | journal=West Indian Med J | year= 1975 | volume= 24 | issue= 4 | pages= 196-201 | pmid=1224630 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1224630 }} </ref><ref name="pmid9071036">{{cite journal| author=Silva MV, Camargo ED, Batista L, Vaz AJ, Ferreira AW, Barbosa PR| title=Application of anti-leptospira ELISA-IgM for the etiologic elucidation of meningitis. | journal=Rev Inst Med Trop Sao Paulo | year= 1996 | volume= 38 | issue= 2 | pages= 153-6 | pmid=9071036 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9071036 }} </ref> | |||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
* Patient present with [[irritability]] and [[restlessness]]. | * Patient present with [[irritability]] and [[restlessness]]. | ||
Revision as of 19:15, 9 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Physical Examination Findings
Appearance of the Patient
- Patient present with irritability and restlessness.
Vital Signs
- Hypotension and circulatory collapse.
- Tachypnea
- Tachycardia
Skin
- Macular, maculopapular erythematous skin eruptions are seen in the face and trunk.
- Purpura due to thrombocytopenia.
HEENT
- Icteric sclera is seen in patients with icteric leptospirosis
- Conjunctival suffusion: a charecterestic finding seen in patients with anicteric leptosirosis. Usually bilaeral and involving palpebral conjunctiva.
- Conjunctival hemorrhages: may be unilateral or bilateral.
Neck
Lungs
- Crepitations common in basal regions
Heart
Abdomen
Genitourinary
Extremities
Neuromuscular
Signs of meningitis such as neck stiffness, nuchal rigidity are present.
Other signs include:
References
- ↑ Budihal, Suman Veerappa (2014). "Leptospirosis Diagnosis: Competancy of Various Laboratory Tests". JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. doi:10.7860/JCDR/2014/6593.3950. ISSN 2249-782X.
- ↑ BEESON PB, HANKEY DD (1952). "Leptospiral meningitis". AMA Arch Intern Med. 89 (4): 575–83. PMID 14902167.
- ↑ King SD, Urquhart AE (1975). "Laboratory investigations on four cases of leptospiral meningitis in Jamaica". West Indian Med J. 24 (4): 196–201. PMID 1224630.
- ↑ Silva MV, Camargo ED, Batista L, Vaz AJ, Ferreira AW, Barbosa PR (1996). "Application of anti-leptospira ELISA-IgM for the etiologic elucidation of meningitis". Rev Inst Med Trop Sao Paulo. 38 (2): 153–6. PMID 9071036.