Enterobiasis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Patients with enterobiasis usually appear restless. Physical examination of patients with enterobiasis is remarkable for skin excoriations as a result of scratching (secondary to perianal itch), perianal skin infections, and visualization of adult worms in the perianal area; usually at night.
Physical Examination
Appearance of the patient
The patient with rotavirus infection may be in a normal appearance. In cases of dehydration, there will be change in the patient appearance depending on the severity of the dehydration as the following:[1][2]
- In early stages of the rotavirus infection the patients are asymptomatic.
- In advanced cases, the patient may show irritable behavior.
- In severe cases, the patient appears pale and lethargic.
Vital signs
- Low blood pressure
- Fever due to the infection and the dehydration
Skin
HEENT
- In infants depressed anterior fontanelle may be felt in case of dehydration
- Sunken eyes
Heart
- Normal heart sounds
- No murmurs, gallops or rubs
Abdomen
Genitourinary
Neuromuscular
Rotavirus can cause several neurological signs in the severe cases including:[3]
Patients with enterobiasis usually appear restless. Physical examination of patients with enterobiasis is remarkable for skin excoriations as a result of scratching (secondary to perianal itch), perianal skin infections, and visualization of adult worms in the perianal area; usually at night.[4][5]
References
- ↑ Parashar UD, Nelson EA, Kang G (2013). "Diagnosis, management, and prevention of rotavirus gastroenteritis in children". BMJ. 347: f7204. doi:10.1136/bmj.f7204. PMID 24379214.
- ↑ WHO http://apps.who.int/iris/bitstream/10665/43209/1/9241593180.pdf Accessed on May 8, 2017
- ↑ Dickey M, Jamison L, Michaud L, Care M, Bernstein DI, Staat MA (2009). "Rotavirus meningoencephalitis in a previously healthy child and a review of the literature". Pediatr Infect Dis J. 28 (4): 318–21. doi:10.1097/INF.0b013e31818ddbe9. PMID 19258926.
- ↑ Cook GC (1994). "Enterobius vermicularis infection". Gut. 35 (9): 1159–62. PMC 1375686. PMID 7959218.
- ↑ Caldwell JP (1982). "Pinworms (enterobius vermicularis)". Can Fam Physician. 28: 306–9. PMC 2306321. PMID 21286054.