Dermatophytosis physical examination: Difference between revisions
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== Overview == | == Overview == | ||
Patients are usually well-appearing in dermatophytosis. The [[skin]] is characterized by [[erythematous]], [[papulosquamous]], annular, well-circumscribed, [[Superficial (human anatomy)|superficial]] rash with central clearing which may be located on the [[scalp]], neck, [[trunk]], [[extremities]] and [[groin]]. Abnormalities of the head/hair may include, dry [[Scaling skin|scaling]], which may be similar to [[Seborrheic dermatitis|seborrheic dermatitis]]; black dots, which are areas of broken hair on a [[Scaling skin|scaly]] surface; smooth areas of hair loss. Neck in tinea corporis may show, red, itchy, scaly, circular skin rash and [[Cervical lymph nodes|cervical lymphadenopathy]]. [[Genitals]] may be involved in tinea cruris and examination may show [[pustules]] and [[vesicles]] at the active edge of the infected area along with [[maceration]]. Hands in tinea mannum may show dry and [[Hyperkeratosis|hyperkeratotic]] [[palmar]] surface. Feet in tinea pedis may show fissuring, [[maceration]], and scaling in the interdigital spaces of the fourth and fifth toes. | |||
== Physical Examination == | == Physical Examination == | ||
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=== Vital signs === | === Vital signs === | ||
*Patient is vitally stable in dermatophytosis | *Patient is vitally stable in dermatophytosis. | ||
=== Skin === | === Skin === | ||
*Dermatophytosis is characterized by erythematous, papulosquamous, annular, well-circumscribed, superficial rash with central clearing which may be located on the scalp, neck, trunk, extremities and groin. | *Dermatophytosis is characterized by [[erythematous]], [[papulosquamous]], annular, well-circumscribed, [[superficial]] rash with central clearing which may be located on the [[Scalp|scalp,]] neck, [[trunk]], [[extremities]] and [[groin]]. | ||
=== HEENT === | === HEENT === | ||
Abnormalities of the head/hair may include: | Abnormalities of the head/hair may include: | ||
*Dry scaling, which may be similar to [[Seborrheic dermatitis|seborrheic]] | *Dry [[Scaling skin|scaling]], which may be similar to [[Seborrheic dermatitis|seborrheic dermatitis]]. | ||
*Black dots, which are areas of broken hair on a scaly surface. | *Black dots, which are areas of broken hair on a [[Scaling skin|scaly]] surface. | ||
*Smooth areas of hair loss. | *Smooth areas of hair loss. | ||
*Kerion, charachterized by an inflamed mass, similar to an abscess. | *Kerion, charachterized by an inflamed mass, similar to an abscess. | ||
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Face in tinea faecei may show: | Face in tinea faecei may show: | ||
*Round or annular red patches. | *Round or annular red patches. | ||
*Indistinct red areas, especially on darkly pigmented skin. | *Indistinct red areas, especially on [[Hyperpigmentation|darkly pigmented]] skin. | ||
*Little or no scaling. | *Little or no [[Scaling skin|scaling]]. | ||
*Raised edges. | *Raised edges. | ||
=== Neck === | === Neck === | ||
Neck in tinea corporis may show: | Neck in tinea corporis may show: | ||
*Red, itchy, scaly, circular skin rash. | *Red, itchy, scaly, circular skin rash. | ||
*Cervical lymphadenopathy. | *[[Cervical lymph nodes|Cervical]] [[lymphadenopathy]]. | ||
=== Lungs === | === Lungs === | ||
*Symmetric chest expansion. | *Symmetric chest expansion. | ||
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*Egophony absent. | *Egophony absent. | ||
*Bronchophony absent. | *Bronchophony absent. | ||
*Normal vocal and tactile fremitus. | *Normal vocal and [[tactile fremitus]]. | ||
=== Heart === | === Heart === | ||
*Normal chest expansion. | *Normal chest expansion. | ||
* | *Point of maximum impulse within 2 cm of the [[sternum]]. | ||
*S1 normal. | *[[Heart sounds|S1]] normal. | ||
*S2 normal. | *[[Heart sounds|S2]] normal. | ||
*No | *No [[Rales|rale]]<nowiki/>s, rubs or [[Gallop rhythm|gallop]]. | ||
=== Abdomen === | === Abdomen === | ||
*Non-distended and non-tender abdomen. | *Non-distended and non-tender abdomen. | ||
*No visceromegaly. | *No [[Organomegaly|visceromegaly]]. | ||
=== Back === | === Back === | ||
*No point tenderness. | *No point tenderness. | ||
*No costovertebral angle tendreness. | *No [[costovertebral angle]] tendreness. | ||
=== Genitourinary === | === Genitourinary === | ||
Genitals may be involved in tinea cruris and examination may show: | [[Genitals]] may be involved in tinea cruris and examination may show: | ||
*Pustules and vesicles at the active edge of the infected area. | *[[Pustules]] and [[vesicles]] at the active edge of the infected area. | ||
*Maceration. | *[[Maceration]]. | ||
*Red, scaling lesions with raised borders. | *Red, scaling lesions with raised borders. | ||
*No urinary frequency, urgency, incontinence, dysuria, discharge, dyspareunia or abnormal mass. | *No [[urinary frequency]], [[urgency]], [[incontinence]], [[dysuria]], [[discharge]], [[dyspareunia]] or abnormal mass. | ||
=== Extremities === | === Extremities === | ||
Hands in tinea mannum may show: | Hands in tinea mannum may show: | ||
*Dry and hyperkeratotic palmar surface | *Dry and [[Hyperkeratosis|hyperkeratotic]] palmar surface. | ||
*When the fingernails are involved, vesicles and scant scaling. | *When the fingernails are involved, [[vesicles]] and scant [[Scaling skin|scaling]]. | ||
Feet in tinea pedis may show: | Feet in tinea pedis may show: | ||
*Fissuring, maceration, and scaling in the interdigital spaces of the fourth and fifth toes. | *Fissuring, [[maceration]], and scaling in the interdigital spaces of the fourth and fifth toes. | ||
*Itching or burning. | *Itching or burning. | ||
*Vesiculobullous form of tinea pedis is characterized by the development of vesicles, pustules, and bullae in an inflammatory pattern on the soles | *Vesiculobullous form of tinea pedis is characterized by the development of [[vesicles]], [[pustules]], and bullae in an [[Inflammation|inflammatory]] pattern on the soles. | ||
==References== | ==References== | ||
Revision as of 21:08, 26 July 2017
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Dermatophytosis physical examination On the Web |
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American Roentgen Ray Society Images of Dermatophytosis physical examination |
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Risk calculators and risk factors for Dermatophytosis physical examination |
Overview
Patients are usually well-appearing in dermatophytosis. The skin is characterized by erythematous, papulosquamous, annular, well-circumscribed, superficial rash with central clearing which may be located on the scalp, neck, trunk, extremities and groin. Abnormalities of the head/hair may include, dry scaling, which may be similar to seborrheic dermatitis; black dots, which are areas of broken hair on a scaly surface; smooth areas of hair loss. Neck in tinea corporis may show, red, itchy, scaly, circular skin rash and cervical lymphadenopathy. Genitals may be involved in tinea cruris and examination may show pustules and vesicles at the active edge of the infected area along with maceration. Hands in tinea mannum may show dry and hyperkeratotic palmar surface. Feet in tinea pedis may show fissuring, maceration, and scaling in the interdigital spaces of the fourth and fifth toes.
Physical Examination
Appearance of the patient
- Patients are usually well-appearing in dermatophytosis.
Vital signs
- Patient is vitally stable in dermatophytosis.
Skin
- Dermatophytosis is characterized by erythematous, papulosquamous, annular, well-circumscribed, superficial rash with central clearing which may be located on the scalp, neck, trunk, extremities and groin.
HEENT
Abnormalities of the head/hair may include:
- Dry scaling, which may be similar to seborrheic dermatitis.
- Black dots, which are areas of broken hair on a scaly surface.
- Smooth areas of hair loss.
- Kerion, charachterized by an inflamed mass, similar to an abscess.
- Yellow crusts and matted hair.
Face in tinea faecei may show:
- Round or annular red patches.
- Indistinct red areas, especially on darkly pigmented skin.
- Little or no scaling.
- Raised edges.
Neck
Neck in tinea corporis may show:
- Red, itchy, scaly, circular skin rash.
- Cervical lymphadenopathy.
Lungs
- Symmetric chest expansion.
- Normal resonance.
- Normal vesicular breath sounds.
- Egophony absent.
- Bronchophony absent.
- Normal vocal and tactile fremitus.
Heart
- Normal chest expansion.
- Point of maximum impulse within 2 cm of the sternum.
- S1 normal.
- S2 normal.
- No rales, rubs or gallop.
Abdomen
- Non-distended and non-tender abdomen.
- No visceromegaly.
Back
- No point tenderness.
- No costovertebral angle tendreness.
Genitourinary
Genitals may be involved in tinea cruris and examination may show:
- Pustules and vesicles at the active edge of the infected area.
- Maceration.
- Red, scaling lesions with raised borders.
- No urinary frequency, urgency, incontinence, dysuria, discharge, dyspareunia or abnormal mass.
Extremities
Hands in tinea mannum may show:
- Dry and hyperkeratotic palmar surface.
- When the fingernails are involved, vesicles and scant scaling.
Feet in tinea pedis may show:
- Fissuring, maceration, and scaling in the interdigital spaces of the fourth and fifth toes.
- Itching or burning.
- Vesiculobullous form of tinea pedis is characterized by the development of vesicles, pustules, and bullae in an inflammatory pattern on the soles.