Toxoplasmosis physical examination: Difference between revisions

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Revision as of 15:58, 26 May 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] ; Aditya Ganti M.B.B.S. [3]

Physical Examination

Vital Signs

Fever ^[1]
Tachypnea

Oral cavity

Oral ulcers can be seen in some patients

Lymph nodes

In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.

Neck

No masses

Cardiovascular system

Regular rate and rhythm
Normal S1, S2
No murmurs, rubs, or gallops

Lungs

Findings consistent with parenchymal consolidation such as^[2]

Dullness to percussion
Increased fremitus
Signs of pleura involvement such as pleuritic rub.

Abdominal

Abdomen soft and non-distended with no scars or striations
No pulsatile masses or abdominal bruits ascultated
Spleen not palpable, liver not palpable

Skin

Ulcerative lesions that bleed easily
Verrucous lesions with irregular border and variegated appearance

Bone and joints

Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
Arthritis can cause reproducible pain in joints.

Genitourinary system

Extremities

Ulcers that bleed on touch

Neurological

Normal examination finding unless the infection is disseminated to brain resulting in meningitis,then findings include :

Gallery

Morphologic changes that took place upon a patient’s arm, which included keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. From Public Health Image Library (PHIL). ^[3]
Morphologic changes that took place upon a patient’s arm, which included keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. From Public Health Image Library (PHIL). ^[3]
Patient’s right knee revealed the keloidal scarring brought on due to a case of cutaneous blastomycosis, which was caused by Blastomyces dermatitidis. From Public Health Image Library (PHIL). ^[3]
Patient’s right knee revealed the keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. From Public Health Image Library (PHIL). ^[3]
Patient’s right ankle displayed keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. From Public Health Image Library (PHIL). ^[3]

Skin

Trunk

Toxoplasmose. Adapted from Dermatology Atlas.^[4]
Toxoplasmose. Adapted from Dermatology Atlas.^[4]
Toxoplasmose. Adapted from Dermatology Atlas.^[4]
Toxoplasmose. Adapted from Dermatology Atlas.^[4]
Toxoplasmose. Adapted from Dermatology Atlas.^[4]

References

↑ Smith JA, Gauthier G (2015). "New Developments in Blastomycosis". Semin Respir Crit Care Med. 36 (5): 715–28. doi:10.1055/s-0035-1562898. PMID 26398538.
↑ Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.
↑ ^3.0 ^3.1 ^3.2 ^3.3 ^3.4 "Public Health Image Library (PHIL)".
↑ ^4.0 ^4.1 ^4.2 ^4.3 ^4.4 "Dermatology Atlas".

Template:WikiDoc Sources

[pmid26398538-1] Smith JA, Gauthier G (2015). "New Developments in Blastomycosis". Semin Respir Crit Care Med. 36 (5): 715–28. doi:10.1055/s-0035-1562898. PMID 26398538.

[2] Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.

[PHIL-3] 3.0 ^3.1 ^3.2 ^3.3 ^3.4 "Public Health Image Library (PHIL)".

[Dermatology_Atlas-4] 4.0 ^4.1 ^4.2 ^4.3 ^4.4 "Dermatology Atlas".

[1]

[2]

[3]

[4]

@@ Line 2: / Line 2: @@
 {{Toxoplasmosis}}
 {{CMG}}; {{AE}} {{KS}} ; {{ADG}}
-===
+==Physical Examination==
+===Vital Signs===
+*[[Fever]] <ref name="pmid26398538">{{cite journal |vauthors=Smith JA, Gauthier G |title=New Developments in Blastomycosis |journal=Semin Respir Crit Care Med |volume=36 |issue=5 |pages=715–28 |year=2015 |pmid=26398538 |doi=10.1055/s-0035-1562898 |url=}}</ref>
+*[[Tachypnea]]
+===Oral cavity===
+*[[Oral ulcers]] can be seen in some patients
+===Lymph nodes===
+*In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen.
+===Neck===
+*No masses
+===Cardiovascular system===
+*Regular rate and rhythm
+*[[Heart sounds|Normal S1, S2]]
+*No [[murmurs]], rubs, or [[Gallops and Extra Heart Sounds|gallops]]
+===Lungs===
+Findings consistent with [[Consolidation (medicine)|parenchymal consolidation]] such as<ref>{{cite book | last = Kauffman | first = Carol | title = Essentials of clinical mycology | publisher = Springer | location = New York | year = 2011 | isbn = 978-1-4419-6639-1 }}</ref>
+*[[Percussion of the lungs|Dullness to percussion]]
+*Increased [[fremitus]]
+*Signs of [[pleura]] involvement such as [[pleuritic]] rub.
+===Abdominal===
+*[[Abdomen]] soft and non-distended with no [[scars]] or striations
+*No pulsatile [[Mass|masses]] or [[Abdominal bruit|abdominal bruits]] ascultated
+*[[Spleen]] not palpable, [[liver]] not palpable
+===Skin===
+*Ulcerative lesions that bleed easily
+*Verrucous lesions with irregular border and variegated appearance
+===Bone and joints===
+*[[Soft tissue]] [[swelling]] around the area of involvement and discharging [[sinuses]] might be consistent with [[osteomyelitis]].
+*[[Arthritis]] can cause reproducible [[pain]] in [[joints]].
+===Genitourinary system===
+*[[Pyuria]]
+*[[Dysuria|Painful urination]]
+===Extremities===
+*[[Ulcers]] that bleed on touch
+===Neurological===
+Normal examination finding unless the infection is disseminated to brain resulting in meningitis,then findings include :
+*[[Consciousness|Altered level of consciousness]]
+*[[Nuchal rigidity]]
+=====Gallery=====
+<gallery>
+Image: Blastomycosis08.jpeg| Morphologic changes that took place upon a patient’s arm, which included keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
+Image: Blastomycosis09.jpeg| Morphologic changes that took place upon a patient’s arm, which included keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
+Image: Blastomycosis11.jpeg|Patient’s right knee revealed the keloidal scarring brought on due to a case of cutaneous blastomycosis, which was caused by Blastomyces dermatitidis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
+Image: Blastomycosis13.jpeg| Patient’s right knee revealed the keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
+Image: Blastomycosis15.jpeg|Patient’s right ankle displayed keloidal scarring brought on due to a case of cutaneous blastomycosis, caused by Blastomyces dermatitidis. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
+</gallery>
 ====Skin====
 =====Trunk=====

Toxoplasmosis physical examination: Difference between revisions

Revision as of 15:58, 26 May 2017

Physical Examination

Vital Signs

Oral cavity

Lymph nodes

Neck

Cardiovascular system

Lungs

Abdominal

Skin

Bone and joints

Genitourinary system

Extremities

Neurological

Gallery

Skin

Trunk

References

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