Monkeypox physical examination: Difference between revisions
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<sup>Write additional pathognomonic findings, such as discharge that resembles cottage cheese for ''C. albicans'' vulvovaginitis / fish-odor for ''T. vaginalis'' ifnection</sup> | <sup>Write additional pathognomonic findings, such as discharge that resembles cottage cheese for ''C. albicans'' vulvovaginitis / fish-odor for ''T. vaginalis'' ifnection</sup> | ||
==References== | ==References== |
Revision as of 11:36, 15 June 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Bassel Almarie, M.D.
Overview
Physical Examination
Vital Signs
- Low-grade fever (temperature, 100.8°F, 38.2°C)[1]
- Fever before rash is a key characteristics to identifying monkeypox[2]
Skin
Skin lesions develop after the prodrome (early set of symptoms). The United States Centers for Disease Control and Prevention described with following characteristics of lesions to identify monkeypox[2]:
- Relatively the same size and same stage of development on a single site of the body
- Well-circumscribed, deep seated, and often develop umbilication (resembles a dot on the top of the lesion)
- Disseminated rash is centrifugal (more lesions on extremities, face)
- Includes palms and soles
- often painful until the healing phase when they become itchy (crusts)
The skin lesions usually develop simultaneously as macular (1-2 days), then evolve to papular (1-2 days), vesicular (1-2 days), pustular (5-7 days), and finally scabs (7-14 days).
Neck
- Lymphadenopathy (submental, submandibular, cervical)
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Write additional pathognomonic findings, such as discharge that resembles cottage cheese for C. albicans vulvovaginitis / fish-odor for T. vaginalis ifnection
References
- ↑ Fleischauer AT, Kile JC, Davidson M, Fischer M, Karem KL, Teclaw R; et al. (2005). "Evaluation of human-to-human transmission of monkeypox from infected patients to health care workers". Clin Infect Dis. 40 (5): 689–94. doi:10.1086/427805. PMID 15714414.
- ↑ 2.0 2.1 "Clinical Recognition | Monkeypox | Poxvirus | CDC". Retrieved 2022-06-15.