Sandbox : anmol: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
The physical examination of lyme disease is necessary for the diagnosis. [[Fever]] and target shaped rash are commonly seen on physical examination | The physical examination of lyme disease is necessary for the diagnosis. [[Fever]] and target shaped rash are commonly seen on physical examination. | ||
==Physical Examination== | ==Physical Examination== | ||
| Line 15: | Line 15: | ||
===HEENT=== | ===HEENT=== | ||
*[[Headache]] | |||
*Regional [[Lymphadenopathy]] | |||
*Facial deviation | *Facial deviation | ||
*Dry eyes | *Dry eyes | ||
| Line 24: | Line 26: | ||
===Neurological=== | ===Neurological=== | ||
*[[Dizziness]] | *[[Dizziness]] | ||
*[[Neck stiffness]] | *[[Neck stiffness]] | ||
*[[Numbness]] and [[tingling]] in extermities | |||
===Musculoskeletal=== | ===Musculoskeletal=== | ||
*[[Arthralgias]] | |||
*[[Arthritis]] | *[[Arthritis]] | ||
| Line 40: | Line 43: | ||
Image:erythema chronicum migrans (Lyme Disease).jpg|Erythema Chronicum Migrans | Image:erythema chronicum migrans (Lyme Disease).jpg|Erythema Chronicum Migrans | ||
</gallery> | </gallery> | ||
<gallery> | <gallery> | ||
Revision as of 13:55, 1 August 2017
|
Lyme disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Sandbox : anmol On the Web |
|
American Roentgen Ray Society Images of Sandbox : anmol |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The physical examination of lyme disease is necessary for the diagnosis. Fever and target shaped rash are commonly seen on physical examination.
Physical Examination
Appearance of the patient
Patients are usually well appearing in early stages, but as the disease progresses they may appear ill.
Vital signs
- Fever (in 15% of patients)
- Tachycardia
HEENT
- Headache
- Regional Lymphadenopathy
- Facial deviation
- Dry eyes
- Drooling of saliva
Cardiovascular
- Tachycardia
- S1 and S2 normal
Neurological
- Dizziness
- Neck stiffness
- Numbness and tingling in extermities
Musculoskeletal
Dermatological
- Target like rash
Images
-
Common bullseye rash pattern associated with Lyme Disease. -
Characteristic "bulls-eye"-like rash caused by Lyme disease. -
Erythema Chronicum Migrans
.jpg)
-
![Right posterior shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/images/c/c8/Borrelia07.jpeg)
Right posterior shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1] -
![Left lateral buttock of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/images/b/b4/Borrelia08.jpeg)
Left lateral buttock of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1] -
![Right hip and waist region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/images/2/2a/Borrelia10.jpeg)
Right hip and waist region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1] -
![Posterior knee with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by the bacterium, Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/images/1/1c/Borrelia11.jpeg)
Posterior knee with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by the bacterium, Borrelia burgdorferi. From Public Health Image Library (PHIL). [1] -
![Medial aspect of the right calf of a patient who’d presented with what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/images/f/fa/Borrelia14.jpeg)
Medial aspect of the right calf of a patient who’d presented with what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1] -
![Posterior right shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/images/6/61/Borrelia15.jpeg)
Posterior right shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1] -
![This Lyme disease patient presented with the signs and symptoms indicative of arthritic changes to his right knee due to a Borrelia burgdorferi bacterial infection. From Public Health Image Library (PHIL). [1]](/images/c/c8/Borrelia17.jpeg)
This Lyme disease patient presented with the signs and symptoms indicative of arthritic changes to his right knee due to a Borrelia burgdorferi bacterial infection. From Public Health Image Library (PHIL). [1] -
![Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1]](/images/4/40/Borrelia31.jpeg)
Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1] -
![Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1]](/images/6/69/Borrelia32.jpeg)
Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1] -
![Facial palsy caused by an infection by the bacterial spirochete Borrelia burgdorferi. Patient was subsequently diagnosed with Lyme disease. From Public Health Image Library (PHIL). [1]](/images/6/6c/Borrelia36.png)
Facial palsy caused by an infection by the bacterial spirochete Borrelia burgdorferi. Patient was subsequently diagnosed with Lyme disease. From Public Health Image Library (PHIL). [1]
![Right posterior shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia07.jpeg)
![Left lateral buttock of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia08.jpeg)
![Right hip and waist region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia10.jpeg)
![Posterior knee with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by the bacterium, Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia11.jpeg)
![Medial aspect of the right calf of a patient who’d presented with what was diagnosed as Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia14.jpeg)
![Posterior right shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia15.jpeg)
![This Lyme disease patient presented with the signs and symptoms indicative of arthritic changes to his right knee due to a Borrelia burgdorferi bacterial infection. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia17.jpeg)
![Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia31.jpeg)
![Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia32.jpeg)
![Facial palsy caused by an infection by the bacterial spirochete Borrelia burgdorferi. Patient was subsequently diagnosed with Lyme disease. From Public Health Image Library (PHIL). [1]](/index.php/File:Borrelia36.png)