Botulism physical examination: Difference between revisions
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==Overview== | |||
Botulism physical examination is very important in order to suggest or exclude the disease. The patients with botulism appear dizzy and tired. The following signs are observed in the botulism patients: eyelid dropping, weakness of tongue muscle, nystagmus and decreased gag reflex. Paralytic ileus also may present. Botulism presentation shows many neurological manifestations like: generalized muscle weakness, abscent tendon reflexes, facial nerve impairment and speech impairment.<ref name="pmid7283294">{{cite journal| author=Hughes JM, Blumenthal JR, Merson MH, Lombard GL, Dowell VR, Gangarosa EJ| title=Clinical features of types A and B food-borne botulism. | journal=Ann Intern Med | year= 1981 | volume= 95 | issue= 4 | pages= 442-5 | pmid=7283294 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7283294 }} </ref> | |||
==Physical Examination== | ==Physical Examination== | ||
=== | ===Appearance of the patient=== | ||
Patients of botulism may appear lethargic and dizzy. | |||
===Vital signs=== | |||
Botulism patients have normal vital signs. | |||
===HEENT=== | |||
*[[Ptosis|Eyelid drooping]] | *[[Ptosis|Eyelid drooping]] | ||
*Absent or decreased [[gag reflex]] | *Absent or decreased [[gag reflex]] | ||
*Weakness of tongue muscle | |||
*Weakness of the eye muscles | |||
*Nystagmus | |||
===Abdomen=== | ===Abdomen=== | ||
* [[Paralytic ileus]]: Decreased or absent bowel sounds | * [[Paralytic ileus]]: Decreased or absent bowel sounds | ||
=== | |||
===Lungs=== | |||
*Respiratory muscle paralysis | |||
===Heart=== | |||
*Normal heart sounds | |||
*No murmurs, gallops or rubs | |||
===Neuromuscular=== | |||
*Absent or decreased deep tendon reflexes | *Absent or decreased deep tendon reflexes | ||
*[[Paralysis|Loss of muscle function]]/ [[Parasthesia|feeling]] | *[[Paralysis|Loss of muscle function]]/ [[Parasthesia|feeling]] | ||
*Speech impairment | *Speech impairment | ||
*Facial nerve impairment | |||
*Abscent of tendon reflexes may present | |||
===Extremities=== | |||
*Weakness lower and upper extremities | |||
==Gallery== | ==Gallery== | ||
Revision as of 20:39, 19 May 2017
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Botulism Microchapters |
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Botulism physical examination On the Web |
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American Roentgen Ray Society Images of Botulism physical examination |
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Risk calculators and risk factors for Botulism physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.
Overview
Botulism physical examination is very important in order to suggest or exclude the disease. The patients with botulism appear dizzy and tired. The following signs are observed in the botulism patients: eyelid dropping, weakness of tongue muscle, nystagmus and decreased gag reflex. Paralytic ileus also may present. Botulism presentation shows many neurological manifestations like: generalized muscle weakness, abscent tendon reflexes, facial nerve impairment and speech impairment.[1]
Physical Examination
Appearance of the patient
Patients of botulism may appear lethargic and dizzy.
Vital signs
Botulism patients have normal vital signs.
HEENT
- Eyelid drooping
- Absent or decreased gag reflex
- Weakness of tongue muscle
- Weakness of the eye muscles
- Nystagmus
Abdomen
- Paralytic ileus: Decreased or absent bowel sounds
Lungs
- Respiratory muscle paralysis
Heart
- Normal heart sounds
- No murmurs, gallops or rubs
Neuromuscular
- Absent or decreased deep tendon reflexes
- Loss of muscle function/ feeling
- Speech impairment
- Facial nerve impairment
- Abscent of tendon reflexes may present
Extremities
- Weakness lower and upper extremities
Gallery
-
![Six week old infant with botulism. From Public Health Image Library (PHIL). [2]](/images/1/17/Botulism17.png)
Six week old infant with botulism. From Public Health Image Library (PHIL). [2]
![Six week old infant with botulism. From Public Health Image Library (PHIL). [2]](/index.php/File:Botulism17.png)
References
- ↑ Hughes JM, Blumenthal JR, Merson MH, Lombard GL, Dowell VR, Gangarosa EJ (1981). "Clinical features of types A and B food-borne botulism". Ann Intern Med. 95 (4): 442–5. PMID 7283294.
- ↑ "Public Health Image Library (PHIL)".