Brucellosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza Lukac
Overview
Patients with brucellosis are usually well-appearing.[1] Common physical examination findings include hepatomegaly, splenomegaly, and lymphadenopathy.[2]
Physical Examination
Appearance of the Patient
- Patients are usually well-appearing[1]
Neck
- Cervical lymphadenopathy
Lungs
- Increased tactile fremitus
- Dullness on percussion
- Decreased breath sounds
- Bronchial breath sounds
- Rhonchi
- Crackles, Rales
- Increased vocal fremitus
- May be present in lobar pneumonia
Heart
- Heart murmurs
- May be present in infective endocarditis
Abdomen
- Hepatomegaly
- Splenomegaly
- Lymphadenopaty
Genitourinary
- Inguinal lymphadenopathy
- Positive Prehn's sign
- May be present in epididymitis
- Swollen testicle or testicles
- May be present in orchitis
Extremities
- Knee, hips, ankles and wrists:
- Fluid around a joint
- Warm, red, tender joints
- Difficulty moving a joint (called "limited range of motion")
- May be present in peripheral arthritis
- Pain around sacroiliac joints
- May be present in sacroiliitis
- Positive Schober test
- May be present in spondilitis
Neuromuscular
- Nuchal rigidity
- Kernig's sign
- Brudzinski's signs
- May be present in meningitis[2]
Reference
- ↑ 1.0 1.1 Madkour M. Madkour's Brucellosis. Springer Science & Business Media; 2012.
- ↑ 2.0 2.1 Pappas G, Akritidis N, Bosilkovski M, Tsianos E (2005). "Brucellosis". N Engl J Med. 352 (22): 2325–36. doi:10.1056/NEJMra050570. PMID 15930423.