Q fever physical examination: Difference between revisions
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{{Q fever}} | {{Q fever}} | ||
{{CMG}} | {{CMG}};{{AE}}{{AY}} | ||
==Overview== | ==Overview== | ||
==Physical examination | Patients with Q fever usually appear ill. Physical examination of patients with Q fever usually shows [[fever]], [[pneumonia]], and [[hepatomegaly]]. | ||
===Vital signs | ==Physical examination== | ||
*Fever: High grade fevers that | Examination of a patient with Q fever might reveal the following signs: | ||
*Tachycardia | |||
*Tachypnea | ===Vital signs=== | ||
*[[Fever]]: [[Fever|High grade fevers]] that are usually accompanied by [[chills]] and [[sweats]]<ref name="pmid88923">{{cite journal |vauthors=Ishikawa H, Maeda H, Takamatsu H, Saito Y |title=Systemic hyalinosis (juvenile hyaline fibromatosis). Ultrastructure of the hyaline with particular reference to the cross-banded structure |journal=Arch. Dermatol. Res. |volume=265 |issue=2 |pages=195–206 |year=1979 |pmid=88923 |doi= |url=}}</ref><ref name="pmid17423643">{{cite journal |vauthors=Marrie TJ |title=Q fever - a review |journal=Can. Vet. J. |volume=31 |issue=8 |pages=555–63 |year=1990 |pmid=17423643 |pmc=1480833 |doi= |url=}}</ref> | |||
*[[Tachycardia]] | |||
*[[Tachypnea]] | |||
===General | ===General=== | ||
*Patient looks ill | *Patient looks ill | ||
===Skin | ===Skin=== | ||
*Maculopapular or punctate rash | *[[Maculopapular]] or punctate [[rash]] | ||
*Erythema nodosum | *[[Erythema nodosum]] | ||
*Spider nevi if hepatic decompensation is present | *[[Spider nevi]] if [[Hepatic failure|hepatic decompensation]] is present | ||
===HEENT | ===HEENT=== | ||
*Jaundice | *[[Jaundice]] | ||
*Congested neck veins if endocarditis or myocarditis is complicated by heart failure | *[[Neck veins|Congested neck veins]] if [[endocarditis]] or [[myocarditis]] is complicated by [[heart failure]]<ref name="pmid6622891">{{cite journal |vauthors=Derrick EH |title="Q" fever, a new fever entity: clinical features, diagnosis and laboratory investigation |journal=Rev. Infect. Dis. |volume=5 |issue=4 |pages=790–800 |year=1983 |pmid=6622891 |doi= |url=}}</ref> | ||
===Lungs=== | |||
*Minimal auscultatory findings in most cases | |||
*[[Crackles]] especially in the lower lung fields | |||
*Decreased breath sounds if [[pleural effusion]] is present | |||
=== | ===Abdomen=== | ||
* | *[[Hepatomegaly]] | ||
* | *[[Ascites]] if [[chronic hepatitis]] ensues | ||
=== | ===Cardiovascular=== | ||
* | *[[S3]] due to [[hyperdynamic circulation]] | ||
* | *New onset [[murmur]] if [[endocarditis]] is present | ||
*[[Pericardial rub]] and distant heart sounds if [[pericarditis]] and [[pericardial effusion]] are present | |||
=== | ===Neurological examination=== | ||
* | *[[Neck rigidity]] and positive Brudsiniski and Kuring signs | ||
*Signs of increased [[intracranial pressure]] ([[vomiting]], [[convulsions]], [[Papilledema|papilledema,]] etc) | |||
* | |||
===Extremities=== | |||
*[[Tenderness]] on palpation of the affected joints and bones | |||
*[[Edema|Lower limb edema]] in presence of [[heart failure]] | |||
===Extremities | |||
*Tenderness on palpation of the affected joints and bones | |||
*Lower limb edema in presence of heart failure | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Needs content]] | [[Category:Needs content]] | ||
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[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Gastroenterology]] | ||
[[Category:Hepatology]] | |||
[[Category:Pulmonology]] | |||
Latest revision as of 23:56, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Patients with Q fever usually appear ill. Physical examination of patients with Q fever usually shows fever, pneumonia, and hepatomegaly.
Physical examination
Examination of a patient with Q fever might reveal the following signs:
Vital signs
- Fever: High grade fevers that are usually accompanied by chills and sweats[1][2]
- Tachycardia
- Tachypnea
General
- Patient looks ill
Skin
- Maculopapular or punctate rash
- Erythema nodosum
- Spider nevi if hepatic decompensation is present
HEENT
- Jaundice
- Congested neck veins if endocarditis or myocarditis is complicated by heart failure[3]
Lungs
- Minimal auscultatory findings in most cases
- Crackles especially in the lower lung fields
- Decreased breath sounds if pleural effusion is present
Abdomen
- Hepatomegaly
- Ascites if chronic hepatitis ensues
Cardiovascular
- S3 due to hyperdynamic circulation
- New onset murmur if endocarditis is present
- Pericardial rub and distant heart sounds if pericarditis and pericardial effusion are present
Neurological examination
- Neck rigidity and positive Brudsiniski and Kuring signs
- Signs of increased intracranial pressure (vomiting, convulsions, papilledema, etc)
Extremities
- Tenderness on palpation of the affected joints and bones
- Lower limb edema in presence of heart failure
References
- ↑ Ishikawa H, Maeda H, Takamatsu H, Saito Y (1979). "Systemic hyalinosis (juvenile hyaline fibromatosis). Ultrastructure of the hyaline with particular reference to the cross-banded structure". Arch. Dermatol. Res. 265 (2): 195–206. PMID 88923.
- ↑ Marrie TJ (1990). "Q fever - a review". Can. Vet. J. 31 (8): 555–63. PMC 1480833. PMID 17423643.
- ↑ Derrick EH (1983). ""Q" fever, a new fever entity: clinical features, diagnosis and laboratory investigation". Rev. Infect. Dis. 5 (4): 790–800. PMID 6622891.