Q fever physical examination: Difference between revisions
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===Vital signs:=== | ===Vital signs:=== | ||
*Fever: High grade fevers that is usually accompanied by chills and | *[[Fever]]: [[Fever|High grade fevers]] that is usually accompanied by [[chills]] and [[sweats]] | ||
*Tachycardia | *[[Tachycardia]] | ||
*Tachypnea | *[[Tachypnea]] | ||
===General:=== | ===General:=== | ||
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===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 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]] | ||
===Lungs:=== | ===Lungs:=== | ||
*Minimal auscultatory findings in most of the cases | *Minimal auscultatory findings in most of the cases | ||
*Crackles especially in the lower lung fields | *[[Crackles]] especially in the lower lung fields | ||
*Decreased breath sounds if pleural effusion is present | *Decreased breath sounds if [[pleural effusion]] is present | ||
===Abdomen:=== | ===Abdomen:=== | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Ascites if chronic hepatitis ensues | *[[Ascites]] if [[chronic hepatitis]] ensues | ||
===Heart:=== | ===Heart:=== | ||
*S3 due to hyperdynamic circulation | *[[S3]] due to [[hyperdynamic circulation]] | ||
*New onset murmer if endocarditis is present | *New onset murmer if [[endocarditis]] is present | ||
*Pericardial rub and distant heart sounds if pericarditis and pericardial effusion is present | *[[Pericardial rub]] and distant heart sounds if [[pericarditis]] and [[pericardial effusion]] is present | ||
===Neurological examination:=== | ===Neurological examination:=== | ||
*Neck rigidity and positive brudsiniski and kuring signs | *[[Neck rigidity]] and positive brudsiniski and kuring signs | ||
*Signs of increased intracranial pressure (vomiting, convulsions, papilledema, etc) | *Signs of increased [[intracranial pressure]] ([[vomiting]], [[convulsions]], [[Papilledema|papilledema,]] etc) | ||
===Extremities:=== | ===Extremities:=== | ||
*Tenderness on palpation of the affected joints and bones | *[[Tenderness]] on palpation of the affected joints and bones | ||
*Lower limb edema in presence of heart failure | *[[Edema|Lower limb edema]] in presence of heart failure | ||
==References== | ==References== | ||
Revision as of 17:44, 5 June 2017
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Q fever Microchapters |
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Q fever physical examination On the Web |
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American Roentgen Ray Society Images of Q fever physical examination |
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Risk calculators and risk factors for Q fever physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination:
Vital signs:
- Fever: High grade fevers that is usually accompanied by chills and sweats
- 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
Lungs:
- Minimal auscultatory findings in most of the cases
- Crackles especially in the lower lung fields
- Decreased breath sounds if pleural effusion is present
Abdomen:
- Hepatomegaly
- Ascites if chronic hepatitis ensues
Heart:
- S3 due to hyperdynamic circulation
- New onset murmer if endocarditis is present
- Pericardial rub and distant heart sounds if pericarditis and pericardial effusion is 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