Hand-foot-and-mouth disease physical examination: Difference between revisions
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==Physical examination== | ==Physical examination== | ||
Common physical examination findings of hand-foot and mouth disease include:<ref name="pmid13682692">{{cite journal| author=ALSOP J, FLEWETT TH, FOSTER JR| title="Hand-foot-and-mouth disease" in Birmingham in 1959. | journal=Br Med J | year= 1960 | volume= 2 | issue= 5214 | pages= 1708-11 | pmid=13682692 | doi= | pmc=2098292 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13682692 }} </ref> | Common physical examination findings of hand-foot and mouth disease include:<ref name="pmid13682692">{{cite journal| author=ALSOP J, FLEWETT TH, FOSTER JR| title="Hand-foot-and-mouth disease" in Birmingham in 1959. | journal=Br Med J | year= 1960 | volume= 2 | issue= 5214 | pages= 1708-11 | pmid=13682692 | doi= | pmc=2098292 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13682692 }} </ref><ref name="pmid25183845">{{cite journal| author=Repass GL, Palmer WC, Stancampiano FF| title=Hand, foot, and mouth disease: identifying and managing an acute viral syndrome. | journal=Cleve Clin J Med | year= 2014 | volume= 81 | issue= 9 | pages= 537-43 | pmid=25183845 | doi=10.3949/ccjm.81a.13132 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25183845 }} </ref> | ||
*Fever | *Fever | ||
*Lesions in the mouth: | *Lesions in the mouth: | ||
Revision as of 16:02, 19 April 2017
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Hand-foot-and-mouth disease Microchapters |
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Differentiating Hand-foot-and-mouth disease from other Diseases |
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Hand-foot-and-mouth disease physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2].
Overview
Hand foot mouth disease is one of many infections that result in mouth sores. Another common cause is oral herpesvirus infection, which produces an inflammation of the mouth and gums (sometimes called stomatitis). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination. A throat swab or stool specimen may be sent to a laboratory to determine which enterovirus caused the illness. Since the testing often takes 2 to 4 weeks to obtain a final answer, the physician usually does not order these tests.
Physical examination
Common physical examination findings of hand-foot and mouth disease include:[1][2]
- Fever
- Lesions in the mouth:
- Irregularly shaped shallow ulcers with yellow-grey base and hyperemic margin.
- Location of the ulcers include:
- Margings of tongue
- Inside of cheeks
- Anterior fauces
- On the mandible above the posterior molar teeth
- Soft palate
- Vesicular skin lesions on hand , foot (dorsum of the fingers and toes near the nail margins, and on heels) and sometimes on the buttocks.
- Usually do not occur on palms and soles but if they do occur, they are profuse, smaller and more uniform in size.
Gallery
Extremities
Head
References
- ↑ ALSOP J, FLEWETT TH, FOSTER JR (1960). ""Hand-foot-and-mouth disease" in Birmingham in 1959". Br Med J. 2 (5214): 1708–11. PMC 2098292. PMID 13682692.
- ↑ Repass GL, Palmer WC, Stancampiano FF (2014). "Hand, foot, and mouth disease: identifying and managing an acute viral syndrome". Cleve Clin J Med. 81 (9): 537–43. doi:10.3949/ccjm.81a.13132. PMID 25183845.