Actinomycosis physical examination: Difference between revisions
Jump to navigation
Jump to search
Aditya Ganti (talk | contribs) |
Aditya Ganti (talk | contribs) |
||
| Line 14: | Line 14: | ||
*[[Oral ulcers]] can be seen in some patients | *[[Oral ulcers]] can be seen in some patients | ||
*Poor dental hygiene with dental caries | *Poor dental hygiene with dental caries | ||
*Trismus | *[[Trismus]] | ||
===Lymph nodes=== | ===Lymph nodes=== | ||
| Line 30: | Line 30: | ||
*[[Percussion of the lungs|Dullness to percussion]] | *[[Percussion of the lungs|Dullness to percussion]] | ||
*Increased [[fremitus]] | *Increased [[fremitus]] | ||
*Signs of pleura involvement such as pleuritic rub. | *Signs of [[pleura]] involvement such as pleuritic rub. | ||
===Abdominal=== | ===Abdominal=== | ||
*A palpable mass can be present in any quadrant of abdomen. | *A palpable mass can be present in any quadrant of abdomen. | ||
*Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis. | *Most common in [[Right lower quadrant abdominal pain resident survival guide|right lower quadrant]]( [[ileocecal valve]]) due to its association with appendicitis. | ||
===Skin=== | ===Skin=== | ||
*Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside. | *Nodular lesions which gradually increase in size and number resulting in [[Cutaneous abscess|multiple abscesses]], and ultimately forming sinuses that open outside. | ||
*Skin around the abscess appears swollen, erythematous, or ecchymotic | *Skin around the abscess appears swollen, [[erythematous]], or ecchymotic | ||
===Genitourinary system=== | ===Genitourinary system=== | ||
| Line 50: | Line 50: | ||
*[[Ulcers]] that bleed on touch | *[[Ulcers]] that bleed on touch | ||
===Neverous system examination=== | ===Neverous system examination=== | ||
*Stiff neck | *[[Stiff neck]] | ||
*Photophobia | *[[Photophobia]] | ||
==References== | ==References== | ||
Revision as of 16:20, 31 March 2017
|
Actinomycosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Actinomycosis physical examination On the Web |
|
American Roentgen Ray Society Images of Actinomycosis physical examination |
|
Risk calculators and risk factors for Actinomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with actinomycosis are usually well-appearing. Physical examination reveals combination of several non-specific findings.
Physical Examination
The physical examination findings of actinomycosis are are mostly nonspecific and are described according to the organ involved [1]
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
- Poor dental hygiene with dental caries
- Trismus
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
- Suppurative abscesses with fistula tracts or draining sinuses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Abdominal
- A palpable mass can be present in any quadrant of abdomen.
- Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis.
Skin
- Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside.
- Skin around the abscess appears swollen, erythematous, or ecchymotic
Genitourinary system
- Pyuria
- Painful urination
- Pelvic mass
- Menometrorrhagia
Extremities
- Ulcers that bleed on touch
Neverous system examination
References
- ↑ Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T (2014). "Actinomycosis: etiology, clinical features, diagnosis, treatment, and management". Infect Drug Resist. 7: 183–97. doi:10.2147/IDR.S39601. PMC 4094581. PMID 25045274.
de:Aktinomykose gl:Actinomicose hr:Aktinomikoza nl:Actinomycose sr:Актиномикоза fi:Aktinomykoosi uk:Актиномікоз