Psittacosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Rose spots can appear and these are called Horder's spots. Splenomegaly is frequent toward the end of first week. Diagnosis can be suspected in case of respiratory infection associated with splenomegaly and/or epistaxis.
Physical Examination
Vital Signs
- Increase in temperature due to Fever
- Decresae heart rate due to bradycardia
Skin
- Hordor spots - macular rashes that resemble rose spots of typhoid. These appear over face.
- Erythema multiforme / erythema nodosum may be noticed.
Eyes
- In case of hepatitis, jaundice may be noticed.
- Conjunctivitis in a few cases
Throat
Heart
- Bradycardia may be noticed.
Lungs
- Consolidation may be suspected on percussion
- Rales may be heard
- Pleural rub can be noticed
- Decrease in breath sounds
Abdomen
- Splenomegaly can be noticed by the end of first week
Renal complications include
- Acute interstitial nephritis
- Acute renal failure
- Glomerulonephritis
Extremities
- Arthritis in a few cases.
Neurologic
In cases of encephalitis
Palsy of CN II, IV, VI and VII