Diphtheria physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

Organ System	Findings
General Appearance	Ill-appearing
Vital Signs	Fever
	Tachycardia
	Tachypnea
Skin	Ulceration
HEENT	Cervical adenopathy
	Bull neck
	Neck edema
	Pseudomembranous tonsilloparyngeal exudates
	Edema of tonsils and uvula
	Rhinorrhea
Lungs	Cough
	Dyspnea
	Hemoptysis
	Stridor
Heart	Sinus bradycardia
	S3 gallop
	Arrythmia
	Distant heart sounds
	Displaced PMI
Neurological	Peripheral neuropathy
	Cranial Nerve III, IX, X palsies
	Paresis or Paralysis

↑ Dobie RA, Tobey DN (1979). "Clinical features of diphtheria in the respiratory tract". JAMA. 242 (20): 2197–201. PMID 490806.
↑ Kadirova R, Kartoglu HU, Strebel PM (2000). "Clinical characteristics and management of 676 hospitalized diphtheria cases, Kyrgyz Republic, 1995". J. Infect. Dis. 181 Suppl 1: S110–5. doi:10.1086/315549. PMID 10657201.
↑ Kneen R, Nguyen MD, Solomon T, Pham NG, Parry CM, Nguyen TT, Ha TL, Taylor A, Vo TT, Nguyen TT, Day NP, White NJ (2004). "Clinical features and predictors of diphtheritic cardiomyopathy in Vietnamese children". Clin. Infect. Dis. 39 (11): 1591–8. doi:10.1086/425305. PMID 15578357.