Polio physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Physical Examination
Appearance of the Patient
About 95% of patients with an healthy immune system are asymptomatic and have a normal physical examination.[1]
1 to 2% of poliovirus infection may lead abortive poliomyelitis, a mild symptomatic disease with little findings on physical exam. These may include:
Abortive poliomyelitis, which occurs in 4% to 8% of infections, is characterized by a 2- to 3-day period of fever, which may be accompanied by headache, sore throat, listlessness, anorexia, vomiting, or abdominal pain. Because the neurologic exami- nation is normal, abortive poliomyelitis cannot be distinguished from other viral infections and can be clinically suspected only during an epidemic.
Vitals
Temperature
- A fever is often present