African trypanosomiasis physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
Physical examination findings of African trypanosomiasis depends upon the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness along with hemiparesis predominate in stage 2.  
Physical examination findings of [[African trypanosomiasis]] depends upon the stage of the disease. [[Skin lesions]] are more prominent in stage 1 and neurological findings such as [[Consciousness|altered level of consciousness]] along with [[hemiparesis]] predominate in stage 2.  


{| class="wikitable"
{| class="wikitable"
!Examination findings
!Examination findings
!African trypnaosomiasis physical examination
!African trypanaosomiasis physical examination
|-
|-
|Appearance of the patient
|Appearance of the patient
|
|
* Drowsy  
* Drowsy  
* Fatigue or tired
* [[Fatigue]] or tired
|-
|-
|[[Vital Signs]]
|[[Vital Signs]]
|
|
* Fever
* [[Fever]]
* Bradycardia
* [[Bradycardia]]
* Weight loss
* [[Weight loss]]
|-
|-
|[[Skin]]
|[[Skin]]
|
|
* Chancre at bite site
* [[Chancre]] at bite site
* Maculopapular rash
* [[Maculopapular rash]]
|-
|-
|[[HEENT]]
|[[HEENT]]
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|[[Neck]]
|[[Neck]]
|
|
* Cervical lymphadenopathy is more common in the West African
* [[Lymphadenopathy|Cervical lymphadenopathy]] is more common in the West African
* Positive Winterbottom sign
* Positive Winterbottom sign
|-
|-
|[[Lymph node]]  
|[[Lymph node]]  
|
|
* Axillary and inguinal lymphadenopathy are more common in East African trypanosomiasis
* Axillary and inguinal [[lymphadenopathy]] are more common in [[African trypanosomiasis|East African trypanosomiasis]]
|-
|-
|[[Lungs]]
|[[Lungs]]
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|[[Heart]]
|[[Heart]]
|
|
* S1, S2 normal, no murmurs or gallops heard
* [[S1]], [[S2]] normal, no [[murmurs]] or [[Gallops and Extra Heart Sounds|gallops]] heard
|-
|-
|[[Abdomen]]
|[[Abdomen]]
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* [[Irritability]]
* [[Irritability]]
* [[Tremors]]
* [[Tremors]]
* Increased muscle rigidity and tonicity
* Increased [[muscle rigidity]] and tonicity
* [[Ataxia]]  
* [[Ataxia]]  
* [[Hemiparesis]]
* [[Hemiparesis]]

Revision as of 15:44, 26 July 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Physical examination findings of African trypanosomiasis depends upon the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness along with hemiparesis predominate in stage 2.[1]

Physical Examination

Physical examination findings of African trypanosomiasis depends upon the stage of the disease. Skin lesions are more prominent in stage 1 and neurological findings such as altered level of consciousness along with hemiparesis predominate in stage 2.

Examination findings African trypanaosomiasis physical examination
Appearance of the patient
Vital Signs
Skin
HEENT
  • Normal
Neck
Lymph node
Lungs
  • Normal bilateral vesicular breathe sounds
Heart
Abdomen
CNS
Musculoskeletal
  • Joint and muscle aches
  • Positive kerandel sign
Extremities

References

  1. Odiit M, Kansiime F, Enyaru JC (1997). "Duration of symptoms and case fatality of sleeping sickness caused by Trypanosoma brucei rhodesiense in Tororo, Uganda". East Afr Med J. 74 (12): 792–5. PMID 9557424.