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]

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.

Appearance of the Patient

Patients withg schistosomiasis usually appear tired.

Vital Signs

• High-grade / low-grade fever.
• Tachycardia with a regular pulse.
• Tachypnea
• High blood pressure

Skin

• Pallor
• Urticaria
• Purpuric rash

Neck

• Cervical lymphadenopathy
• Jugular venous distension in cases of cor pulmanale.

Lungs

• Normal vesicular breathe sounds.
• Ocassional wheezeing

Heart

• Normal S1, S2
• Signs of right hear 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

• Clubbing