Psittacosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
[[Rose spots]] can appear and these are called Horder's spots. [[Splenomegaly]] is frequent toward the end of first week. Diagnosis can be suspected in case of respiratory infection associated with [[splenomegaly]] and/or [[epistaxis]]. | [[Rose spots]] can appear and these are called Horder's spots. [[Splenomegaly]] is frequent toward the end of first week. Diagnosis can be suspected in case of [[respiratory infection]] associated with [[splenomegaly]] and/or [[epistaxis]]. | ||
==Physical Examination== | ==Physical Examination== | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Increase in temperature due to [[Fever]] | * Increase in [[temperature]] due to [[Fever]] | ||
* | * Decrease heart rate due to [[bradycardia]] | ||
===Skin=== | ===Skin=== | ||
* '''Hordor spots''' - macular rashes that resemble rose spots of typhoid. These appear over face. | * '''Hordor spots''' - [[macular]] [[Rash|rashes]] that resemble [[rose spots]] of [[typhoid]]. These appear over face. | ||
* [[Erythema multiforme]] / [[erythema nodosum]] may be noticed. | * [[Erythema multiforme]] / [[erythema nodosum]] may be noticed. | ||
=== Eyes === | === Eyes === | ||
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=== Heart === | === Heart === | ||
* [[Bradycardia]] may be noticed. | * [[Bradycardia]] may be noticed. | ||
*Culture negative endocarditis | *[[Endocarditis|Culture negative endocarditis]] | ||
*Myocarditis | *[[Myocarditis]] | ||
*Pericarditis | *[[Pericarditis]] | ||
=== Lungs === | === Lungs === | ||
* Consolidation may be suspected on percussion | * [[Consolidation (medicine)|Consolidation]] may be suspected on [[percussion]] | ||
* [[Rales]] may be heard | * [[Rales]] may be heard | ||
* [[Pleural rub]] can be noticed | * [[Pleural friction rub|Pleural rub]] can be noticed | ||
* Decrease in breath sounds | * Decrease in [[breath sounds]] | ||
=== Abdomen === | === Abdomen === | ||
[[Splenomegaly]] can be noticed by the end of first week | [[Splenomegaly]] and hepatitis can be noticed by the end of first week. Some renal complications include; | ||
*[[Acute interstitial nephritis]] | *[[Acute interstitial nephritis]] | ||
*[[Acute renal failure]] | *[[Acute renal failure]] | ||
Revision as of 15:19, 3 July 2017
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Psittacosis Microchapters |
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Diagnosis |
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Treatment |
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Psittacosis physical examination On the Web |
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American Roentgen Ray Society Images of Psittacosis physical examination |
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Risk calculators and risk factors for Psittacosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Rose spots can appear and these are called Horder's spots. Splenomegaly is frequent toward the end of first week. Diagnosis can be suspected in case of respiratory infection associated with splenomegaly and/or epistaxis.
Physical Examination
Vital Signs
- Increase in temperature due to Fever
- Decrease heart rate due to bradycardia
Skin
- Hordor spots - macular rashes that resemble rose spots of typhoid. These appear over face.
- Erythema multiforme / erythema nodosum may be noticed.
Eyes
- In case of hepatitis, jaundice may be noticed.
- Conjunctivitis in a few cases
Throat
Heart
- Bradycardia may be noticed.
- Culture negative endocarditis
- Myocarditis
- Pericarditis
Lungs
- Consolidation may be suspected on percussion
- Rales may be heard
- Pleural rub can be noticed
- Decrease in breath sounds
Abdomen
Splenomegaly and hepatitis can be noticed by the end of first week. Some renal complications include;
Extremities
- Arthritis in a few cases.
Neurologic
In cases of encephalitis
Palsy of cranial nerves II, IV, VI and VII