Rabies physical examination: Difference between revisions
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{{Rabies}} | {{Rabies}} | ||
'''Editor-In-Chief:''' [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com <nowiki>[1]</nowiki>]; '''Associate Editor(s)-in-Chief:''' | |||
== Overview[edit | edit source] == | |||
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. | |||
OR | |||
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3]. | |||
OR | |||
The presence of [finding(s)] on physical examination is diagnostic of [disease name]. | |||
OR | |||
The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | |||
== Physical Examination[edit | edit source] == | |||
* Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3]. | |||
* The presence of [finding(s)] on physical examination is diagnostic of [disease name]. | |||
* The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | |||
=== Appearance of the Patient[edit | edit source] === | |||
* Patients with [disease name] usually appear [general appearance]. | |||
=== Vital Signs[edit | edit source] === | |||
* High-grade / low-grade fever | |||
* [[Hypothermia]] / hyperthermia may be present | |||
* [[Tachycardia]] with regular pulse or (ir)regularly irregular pulse | |||
* [[Bradycardia]] with regular pulse or (ir)regularly irregular pulse | |||
* Tachypnea / bradypnea | |||
* Kussmal respirations may be present in _____ (advanced disease state) | |||
* Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse | |||
* High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]] | |||
=== Skin[edit | edit source] === | |||
* [[Cyanosis]] | |||
* [[Jaundice]] | |||
* [[Pallor]] | |||
* Bruises | |||
* UploadedImage-01.jpg Description [http://www.atlasdermatologico.com.br/ (Adapted from Dermatology Atlas)] | |||
* UploadedImage-02.jpg Description [http://www.atlasdermatologico.com.br/ (Adapted from Dermatology Atlas)] | |||
=== HEENT[edit | edit source] === | |||
* Abnormalities of the head/hair may include ___ | |||
* Evidence of trauma | |||
* Icteric sclera | |||
* [[Nystagmus]] | |||
* Extra-ocular movements may be abnormal | |||
* Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation | |||
* Ophthalmoscopic exam may be abnormal with findings of ___ | |||
* Hearing acuity may be reduced | |||
* [[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".) | |||
* [[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".) | |||
* [[Exudate]] from the ear canal | |||
* Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal) | |||
* Inflamed nares / congested nares | |||
* [[Purulent]] exudate from the nares | |||
* Facial tenderness | |||
* Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae | |||
=== Neck[edit | edit source] === | |||
* [[Jugular venous distension]] | |||
* [[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope | |||
* [[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry) | |||
* [[Thyromegaly]] / thyroid nodules | |||
* [[Hepatojugular reflux]] | |||
=== Lungs[edit | edit source] === | |||
* Asymmetric chest expansion / Decreased chest expansion | |||
* Lungs are hypo/hyperresonant | |||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | |||
* Rhonchi | |||
* Vesicular breath sounds / Distant breath sounds | |||
* Expiratory/inspiratory wheezing with normal / delayed expiratory phase | |||
* [[Wheezing]] may be present | |||
* [[Egophony]] present/absent | |||
* [[Bronchophony]] present/absent | |||
* Normal/reduced [[tactile fremitus]] | |||
=== Heart[edit | edit source] === | |||
* Chest tenderness upon palpation | |||
* PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____ | |||
* [[Heave]] / [[thrill]] | |||
* [[Friction rub]] | |||
* [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] | |||
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] | |||
* [[Heart sounds#Third heart sound S3|S3]] | |||
* [[Heart sounds#Fourth heart sound S4|S4]] | |||
* [[Heart sounds#Summation Gallop|Gallops]] | |||
* A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope | |||
=== Abdomen[edit | edit source] === | |||
* [[Abdominal distention]] | |||
* [[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | |||
* [[Rebound tenderness]] (positive Blumberg sign) | |||
* A palpable abdominal mass in the right/left upper/lower abdominal quadrant | |||
* Guarding may be present | |||
* [[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | |||
* Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test | |||
=== Back[edit | edit source] === | |||
* Point tenderness over __ vertebrae (e.g. L3-L4) | |||
* Sacral edema | |||
* Costovertebral angle tenderness bilaterally/unilaterally | |||
* Buffalo hump | |||
=== Genitourinary[edit | edit source] === | |||
* A pelvic/adnexal mass may be palpated | |||
* Inflamed mucosa | |||
* Clear/(color), foul-smelling/odorless penile/vaginal discharge | |||
=== Neuromuscular[edit | edit source] === | |||
* Patient is usually oriented to persons, place, and time | |||
* Altered mental status | |||
* Glasgow coma scale is ___ / 15 | |||
* Clonus may be present | |||
* Hyperreflexia / hyporeflexia / areflexia | |||
* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally | |||
* Muscle rigidity | |||
* Proximal/distal muscle weakness unilaterally/bilaterally | |||
* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit) | |||
* Unilateral/bilateral upper/lower extremity weakness | |||
* Unilateral/bilateral sensory loss in the upper/lower extremity | |||
* Positive straight leg raise test | |||
* Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait) | |||
* Positive/negative Trendelenburg sign | |||
* Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling) | |||
* Normal finger-to-nose test / Dysmetria | |||
* Absent/present dysdiadochokinesia (palm tapping test) | |||
=== Extremities[edit | edit source] === | |||
* [[Clubbing]] | |||
* [[Cyanosis]] | |||
* Pitting/non-pitting [[edema]] of the upper/lower extremities | |||
* Muscle atrophy | |||
* Fasciculations in the upper/lower extremity | |||
== References[edit | edit source] == | |||
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Revision as of 14:40, 26 September 2017
Rabies Microchapters |
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Rabies physical examination On the Web |
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Risk calculators and risk factors for Rabies physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview[edit | edit source]
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination[edit | edit source]
- Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Appearance of the Patient[edit | edit source]
- Patients with [disease name] usually appear [general appearance].
Vital Signs[edit | edit source]
- High-grade / low-grade fever
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin[edit | edit source]
- UploadedImage-01.jpg Description (Adapted from Dermatology Atlas)
- UploadedImage-02.jpg Description (Adapted from Dermatology Atlas)
HEENT[edit | edit source]
- Abnormalities of the head/hair may include ___
- Evidence of trauma
- Icteric sclera
- Nystagmus
- Extra-ocular movements may be abnormal
- Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation
- Ophthalmoscopic exam may be abnormal with findings of ___
- Hearing acuity may be reduced
- Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
- Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
- Exudate from the ear canal
- Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
- Inflamed nares / congested nares
- Purulent exudate from the nares
- Facial tenderness
- Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck[edit | edit source]
- Jugular venous distension
- Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
- Thyromegaly / thyroid nodules
- Hepatojugular reflux
Lungs[edit | edit source]
- Asymmetric chest expansion / Decreased chest expansion
- Lungs are hypo/hyperresonant
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Rhonchi
- Vesicular breath sounds / Distant breath sounds
- Expiratory/inspiratory wheezing with normal / delayed expiratory phase
- Wheezing may be present
- Egophony present/absent
- Bronchophony present/absent
- Normal/reduced tactile fremitus
Heart[edit | edit source]
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen[edit | edit source]
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Guarding may be present
- Hepatomegaly / splenomegaly / hepatosplenomegaly
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back[edit | edit source]
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary[edit | edit source]
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular[edit | edit source]
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- Hyperreflexia / hyporeflexia / areflexia
- Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Positive straight leg raise test
- Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
- Positive/negative Trendelenburg sign
- Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
- Normal finger-to-nose test / Dysmetria
- Absent/present dysdiadochokinesia (palm tapping test)
Extremities[edit | edit source]
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity
References[edit | edit source]
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.