Schistosomiasis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2] ; Aditya Ganti M.B.B.S. [3]
Overview
Common physical examination findings of schistosomiasis include generalized lymphadenopathy, hepatosplenomegaly, rash, fever, right upper quadrant tenderness, urticaria, bloody stool.
Physical examination
Common physical examination findings of schistosomiasis include generalized lymphadenopathy, hepatosplenomegaly, rash, fever, right upper quadrant tenderness, urticaria, bloody stool.[1]
Appearance of the Patient
Patients with schistosomiasis usually appear fatigued and exhausted.
Vital Signs
- High-grade / low-grade fever
- Tachycardia with a regular pulse
- Tachypnea
- High blood pressure
Skin
Neck
Lungs
- Normal vesicular breath sounds
- Occasional wheezing
Heart
- Normal S1, S2
- Signs of right heart failure in cases cor-pulmonale
Abdomen
- Right upper quadrant tenderness
- Abdominal distention
- Hepatosplenomegaly
- Distended abdominal veins
- Ascites
Genitourinary
- Genital ulcers
- Hypertrophic lesions or nodular lesions of the cervix, vulva, or vagina
- Vesicovaginal fistula
- Uterine enlargement
- Pelvic pain
- Dysuria
Neuromuscular
- Joint tenderness
- Sensory/motor abnormalities
Extremities
References
- ↑ Levy L, Nasereddin A, Rav-Acha M, Kedmi M, Rund D, Gatt ME (2009). "Prolonged fever, hepatosplenomegaly, and pancytopenia in a 46-year-old woman". PLoS Med. 6 (4): e1000053. doi:10.1371/journal.pmed.1000053. PMC 2661247. PMID 19365537.