Yellow fever physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical findings include scleral and dermal icterus, hemorrhages (e.g., hematemesis, melena, petechiae, ecchymoses), and epigastric tenderness without hepatic enlargement.

Physical Examination

Vitals

  • Fever
  • Bradycardia (Fager sign) or tachycardia
  • Hypotension

Skin

  • Jaundice
  • Petequia
  • Purpura

Eyes

  • Scleral icterus
  • Conjuntival injection

Abdomen

  • Epigastric tenderness
  • Diffuse tenderness
  • Hepatomegaly

Neurologic

  • Altered mental status
  • Delirium (seen in the toxic phase)
  • Seizures (seen in the toxic phase)
  • Coma (seen in the toxic phase)

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