Cytomegalovirus infection physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General Appearance of the patient=== | ===General Appearance of the patient=== | ||
The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic.<ref name=Health>{{cite web | title = AIDSinfo| url = http://aidsinfo.nih.gov/ }}</ref> | The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic.<ref name=Health>{{cite web | title = AIDSinfo| url = http://aidsinfo.nih.gov/ }}</ref> | ||
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===Eyes=== | ===Eyes=== | ||
* | *On fundus examination the following findings can be demonstrated: | ||
* | **Fluffy yellow-white retinal lesions, with or without intraretinal hemorrhage. | ||
**[[Inflammation]] of the [[vitreous]] can be demonstrated in patients with severe [[immunosuppression]]. | |||
**Blood vessels appear sheathed. | |||
**If left untreated, [[retinitis]] is a rapidly progressive condition and on fundus examination it demonstrates a characteristic brushfire pattern, with a granular, white leading edge advancing before an atrophic gliotic scar. | |||
===Head=== | ===Head=== | ||
*[[Tenderness]] of sinuses may be elicited. | *[[Tenderness]] of sinuses may be elicited. | ||
Revision as of 18:35, 25 May 2017
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Cytomegalovirus infection Microchapters |
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Differentiating Cytomegalovirus infection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Cytomegalovirus infection physical examination On the Web |
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American Roentgen Ray Society Images of Cytomegalovirus infection physical examination |
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Risk calculators and risk factors for Cytomegalovirus infection physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Physical Examination
General Appearance of the patient
The appearance of the patient depends on the stage of the disease. The patient may look very healthy or be ill-looking and cachectic.[1]
Vitals
Temperature
- Fever can be present.
Pulse
- Tachycardia can be present.
Blood pressure
- Hypotension can be present.
Respiratory rate
- Tachypnea can be seen during fever and respiratory tract infections
Skin
- Folliculitis can be present.
- Seborrheic dermatitis can be present.
- Psoriasis can be present.
- Skin lesions can be present in some cases.
Eyes
- On fundus examination the following findings can be demonstrated:
- Fluffy yellow-white retinal lesions, with or without intraretinal hemorrhage.
- Inflammation of the vitreous can be demonstrated in patients with severe immunosuppression.
- Blood vessels appear sheathed.
- If left untreated, retinitis is a rapidly progressive condition and on fundus examination it demonstrates a characteristic brushfire pattern, with a granular, white leading edge advancing before an atrophic gliotic scar.
Head
- Tenderness of sinuses may be elicited.
Nose
- Inflammation of the nasal turbinates may be present.
Ears
- Unilateral or bilateral deafness may be present.
- Discharge from the ears may be found.
Throat
- Peridontal disease may be present.
- Oral herpes simplex lesions may be found.
- Oral thrush may be found.
Lungs
- Crackles and rhonchi may be found.
- Dullness to percussion can be present.
- Increased tactile fremitus can be present.
Cardiovascular system
- A heart murmur can be found.
Abdomen
- Abdominal tenderness can be found.
- Hepatomegaly may be detected.
- Splenomegaly may be detected.
Genitourinary
- Vaginal or urethral discharge can be present.
Extremities
- Muscle weakness may be present.
- Joint swelling may be present.
Central Nervous System
- Focal neurological deficits may be found.
- Behavioral changes may be observed.
- Gait disturbances may be present.