Bubonic plague physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The pathognomic sign of plague is a very painful, usually [[swollen]], and often hot-to-the touch [[lymph node]], called a [[bubo]]. This finding, accompanied with [[fever]], extreme [[exhaustion]], and a history of possible exposure to rodents, rodent fleas, wild rabbits, or sick or dead [[carnivores]] should lead to suspicion of plague. | |||
Onset of bubonic plague is usually 2 to 6 days after a person is exposed. Initial manifestations include [[fever]], [[headache]], and general [[illness]], followed by the development of painful, swollen regional lymph nodes. Occasionally, buboes cannot be detected for a day or so after the onset of other symptoms. The disease progresses rapidly and the [[bacteria]] can invade the [[bloodstream]], producing severe illness, called [[plague septicemia]]. | |||
Once a [[human]] is [[infected]], a progressive and potentially [[fatal]] illness generally results unless specific [[antibiotic therapy]] is given. Progression leads to [[blood infection]] and, finally, to [[lung]] infection. The infection of the lung is termed [[plague pneumonia]], and it can be transmitted to others through the expulsion of infective respiratory droplets by [[coughing]]. | |||
The incubation period of primary pneumonic plague is 1 to 3 days and is characterized by development of an overwhelming [[pneumonia]] with high fever, cough, bloody [[sputum]], and [[chills]]. For plague pneumonia patients, the [[death]] rate is over 50%. | |||
==Physical images== | ==Physical images== |
Revision as of 15:53, 28 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.
Overview
The pathognomic sign of plague is a very painful, usually swollen, and often hot-to-the touch lymph node, called a bubo. This finding, accompanied with fever, extreme exhaustion, and a history of possible exposure to rodents, rodent fleas, wild rabbits, or sick or dead carnivores should lead to suspicion of plague.
Onset of bubonic plague is usually 2 to 6 days after a person is exposed. Initial manifestations include fever, headache, and general illness, followed by the development of painful, swollen regional lymph nodes. Occasionally, buboes cannot be detected for a day or so after the onset of other symptoms. The disease progresses rapidly and the bacteria can invade the bloodstream, producing severe illness, called plague septicemia.
Once a human is infected, a progressive and potentially fatal illness generally results unless specific antibiotic therapy is given. Progression leads to blood infection and, finally, to lung infection. The infection of the lung is termed plague pneumonia, and it can be transmitted to others through the expulsion of infective respiratory droplets by coughing.
The incubation period of primary pneumonic plague is 1 to 3 days and is characterized by development of an overwhelming pneumonia with high fever, cough, bloody sputum, and chills. For plague pneumonia patients, the death rate is over 50%.