Norovirus infection physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination of patients with norovirus infection may be remarkable for low-grade fever, tachycardia, abdominal tenderness, and signs of dehydration (reduced skin turgor, sunken fontanelles, sunken eyes, dry mucous membranes). Physical examination in severe cases may be remarkable for hypotension and altered mental status.
Physical Examination
Physical examination of patients with norovirus infection is often remarkable for the following findings:
General Appearance
- Sick-looking
- Crying children
Vital Signs
- Fever (usually low-grade)
- Tachycardia
- Tachypnea
- Hypotension in cases of severe dehydration
Skin
- Reduced skin turgor
- Skin pallor
- Slow capillary refill
HEENT
- Sunken fontanelles in infants
- Sunken eyes
- Absent tears
- Dry mucous membranes
Abdomen
- Abdominal tenderness (usually diffuse)
Neurologic
- Altered mental status may be present in severe dehydration elderly or pediatric patients