Rabies physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview[edit | edit source]
Common physical examination findings of rabies include hyperpyrexia alternating with hypothermia, Tachycardia, respiratory collapse, hypersalivation, lacrimation, sweating, dilatation of the pupils and bradycardia. Skin findings may include percussion myoedema, bite marks and bruises.
Physical Examination[edit | edit source]
Vital Signs[edit | edit source]
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin[edit | edit source]
HEENT[edit | edit source]
Neck[edit | edit source]
- No abnormal findings
Lungs[edit | edit source]
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated.
- Wheezing may be present due to aspiration or chest infection
- Normal/reduced tactile fremitus
Heart[edit | edit source]
Abdomen[edit | edit source]
- Guarding may be present
Genitourinary[edit | edit source]
- No abnormal findings
Neuromuscular[edit | edit source]
- Opisthotonos
- Altered mental status
- Increased tendon reflexes with extensor plantar responses
- Flaccid paralysis with generalized areflexia when patient develops coma
- Nuchal rigidity
- Increased muscle tone
- Fasciculations
Extremities[edit | edit source]
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity