Hantavirus infection physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with hantavirus infection usually exhibit prostration. Physical examination of patients with hantavirus infection is remarkable for abdominal discomfort, fever, skin petechia, low blood pressure and abnormal cardiopulmonary examination.<ref name="pmid28120221">{{cite journal |vauthors=Jiang H, Zheng X, Wang L, Du H, Wang P, Bai X |title=Hantavirus infection: a global zoonotic challenge |journal=Virol Sin |volume=32 |issue=1 |pages=32–43 |year=2017 |pmid=28120221 |doi=10.1007/s12250-016-3899-x |url=}}</ref><ref name="pmid26461998">{{cite journal |vauthors=Imazio M, Gaita F, LeWinter M |title=Evaluation and Treatment of Pericarditis: A Systematic Review |journal=JAMA |volume=314 |issue=14 |pages=1498–506 |year=2015 |pmid=26461998 |doi=10.1001/jama.2015.12763 |url=}}</ref> | Patients with hantavirus infection usually exhibit prostration. Physical examination of patients with hantavirus infection is remarkable for [[abdominal discomfort]], [[fever]], skin [[petechia]], [[low blood pressure]] and abnormal [[cardiopulmonary]] examination.<ref name="pmid28120221">{{cite journal |vauthors=Jiang H, Zheng X, Wang L, Du H, Wang P, Bai X |title=Hantavirus infection: a global zoonotic challenge |journal=Virol Sin |volume=32 |issue=1 |pages=32–43 |year=2017 |pmid=28120221 |doi=10.1007/s12250-016-3899-x |url=}}</ref><ref name="pmid26461998">{{cite journal |vauthors=Imazio M, Gaita F, LeWinter M |title=Evaluation and Treatment of Pericarditis: A Systematic Review |journal=JAMA |volume=314 |issue=14 |pages=1498–506 |year=2015 |pmid=26461998 |doi=10.1001/jama.2015.12763 |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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Patients with hantavirus usually exhibit prostration. | Patients with hantavirus usually exhibit prostration. | ||
*The patient may be restless, fatigued, and irritable. | *The patient may be restless, fatigued, and irritable. | ||
*In advanced cases, the patient may be confused or comatose. | *In advanced cases, the patient may be confused or [[comatose]]. | ||
===Vital signs=== | ===Vital signs=== | ||
Vital signs in patients with hantavirus are usually normal but may have: | Vital signs in patients with hantavirus are usually normal but may have: | ||
*Fever | *[[Fever]] | ||
*Low blood pressure | *[[Low blood pressure]] | ||
===Skin=== | ===Skin=== | ||
The patient may have: | The patient may have: | ||
*Petechiae | *[[Petechiae]] | ||
*Skin pallor | *Skin pallor | ||
| Line 28: | Line 28: | ||
===HEENT=== | ===HEENT=== | ||
The patient may have: | The patient may have: | ||
*Myopia | *[[Myopia]] | ||
*Inflammatory symptoms of eye (erythema, edema, and pain) | *Inflammatory symptoms of eye ([[erythema]], [[edema]], and [[pain]]) | ||
===Cardiopulmonary=== | ===Cardiopulmonary=== | ||
The patient may have these findings in the myopericarditis: | The patient may have these findings in the myopericarditis: | ||
*Pericardial friction rub | *[[Pericardial friction rub]] | ||
*S3 gallop | *[[S3 gallop]] | ||
*Elevated jugular venous pressure | *Elevated [[jugular venous pressure]] | ||
*Lower limb edema | *Lower limb [[edema]] | ||
*Pulmonary rales and rhonchi | *Pulmonary [[rales]] and [[rhonchi]] | ||
==References== | ==References== | ||
Revision as of 22:20, 7 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Patients with hantavirus infection usually exhibit prostration. Physical examination of patients with hantavirus infection is remarkable for abdominal discomfort, fever, skin petechia, low blood pressure and abnormal cardiopulmonary examination.[1][2]
Physical Examination
Appearance of the patient
Patients with hantavirus usually exhibit prostration.
- The patient may be restless, fatigued, and irritable.
- In advanced cases, the patient may be confused or comatose.
Vital signs
Vital signs in patients with hantavirus are usually normal but may have:
Skin
The patient may have:
- Petechiae
- Skin pallor
Abdomen
The Patient may have:
HEENT
The patient may have:
Cardiopulmonary
The patient may have these findings in the myopericarditis:
- Pericardial friction rub
- S3 gallop
- Elevated jugular venous pressure
- Lower limb edema
- Pulmonary rales and rhonchi
References
- ↑ Jiang H, Zheng X, Wang L, Du H, Wang P, Bai X (2017). "Hantavirus infection: a global zoonotic challenge". Virol Sin. 32 (1): 32–43. doi:10.1007/s12250-016-3899-x. PMID 28120221.
- ↑ Imazio M, Gaita F, LeWinter M (2015). "Evaluation and Treatment of Pericarditis: A Systematic Review". JAMA. 314 (14): 1498–506. doi:10.1001/jama.2015.12763. PMID 26461998.