African trypanosomiasis physical examination

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African trypanosomiasis Microchapters

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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

Examination findings African trypnaosomiasis physical examination
Appearance of the patient
  • Drowsy
  • Fatigue or tired
Vital Signs
  • Fever
  • Bradycardia
  • Weight loss
Skin
  • Chancre at bite site
  • Maculopapular rash
HEENT
  • Normal
Neck
  • Cervical lymphadenopathy is more common in the West African
  • Positive Winterbottom sign
Lymph node
  • Axillary and inguinal lymphadenopathy are more common in East African trypanosomiasis
Lungs
  • Normal bilateral vesicular breathe sounds
Heart
  • S1, S2 normal, no murmurs or gallops heard
Abdomen
CNS
Musculoskeletal
  • Joint and muscle aches
  • Positive kerandel sign
Extremities

References