Rabies physical examination: Difference between revisions
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{{Rabies}} | {{Rabies}} | ||
{{CMG}} {{AE}} {{IQ}} | |||
== Overview | == Overview == | ||
Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[tachycardia]], [[respiratory]] collapse, [[hypersalivation]], [[lacrimation]], [[sweating]], [[Pupillary dilation|dilatation of the pupils]] and [[bradycardia]]. Skin findings may include percussion myoedema, bite marks and [[bruises]]. | |||
== Physical Examination == | |||
=== Vital Signs === | |||
* [[Hyperpyrexia]] alternating with [[hypothermia]] | |||
== | |||
* | |||
* [[Tachycardia]] | * [[Tachycardia]] | ||
* Respiratory and vascular collapse | * [[Respiratory]] and [[vascular]] collapse | ||
* Bradycardia | * [[Bradycardia]] | ||
=== Skin | === Skin === | ||
* Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | * Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | ||
* Bite marks | * Bite marks | ||
* Bruises | * [[Bruises]] | ||
=== HEENT | === HEENT === | ||
* Hypersalivation | * [[Hypersalivation]] | ||
*Lacrimation | *[[Lacrimation]] | ||
*Sweating | *[[Sweating]] | ||
*Dilatation of the pupils | *[[Pupillary dilation|Dilatation of the pupils]] | ||
=== Neck | === Neck === | ||
* | * No abnormal findings | ||
=== Lungs | === Lungs === | ||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated. | * Fine/coarse [[crackles]] upon [[auscultation]] of the [[lung]] bases/apices unilaterally/bilaterally, if [[Aspirate|aspirated]]. | ||
* [[Wheezing]] may be present due to aspiration or chest infection | * [[Wheezing]] may be present due to [[aspiration]] or [[chest]] [[infection]] | ||
* Normal/reduced [[tactile fremitus]] | * Normal/reduced [[tactile fremitus]] | ||
=== Heart | === Heart === | ||
* [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] normal, soft | * [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] normal, soft | ||
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] normal | * [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] normal | ||
=== Abdomen | === Abdomen === | ||
* Guarding may be present | * [[Guarding]] may be present | ||
=== Genitourinary | === Genitourinary === | ||
* No abnormal findings | * No abnormal findings | ||
=== Neuromuscular | === Neuromuscular === | ||
* Opisthotonos | * [[Opisthotonos]] | ||
* Altered mental status | * [[Altered mental status]] | ||
* Increased tendon reflexes with extensor plantar responses | * Increased [[Tendon reflex|tendon reflexes]] with [[Extensor plantar reflexes|extensor plantar responses]] | ||
*Flaccid paralysis with generalized areflexia when patient develops coma | *[[Flaccid paralysis]] with generalized [[areflexia]] when patient develops [[coma]] | ||
* Nuchal rigidity | * [[Nuchal rigidity]] | ||
* Increased muscle tone | * Increased [[muscle tone]] | ||
* Fasciculations | * [[Fasciculations]] | ||
=== Extremities | === Extremities === | ||
* Bite marks | * Bite marks | ||
* Muscle atrophy | * Muscle [[atrophy]] | ||
* Fasciculations in the upper/lower extremity | * [[Fasciculations]] in the upper/lower extremity | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Viral diseases]] | [[Category:Viral diseases]] | ||
[[Category:Mononegavirales]] | [[Category:Mononegavirales]] | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category: | [[Category:Infectious disease]] | ||
[[Category:Medicine]] | |||
Latest revision as of 23:56, 29 July 2020
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Risk calculators and risk factors for Rabies physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
Common physical examination findings of rabies include hyperpyrexia alternating with hypothermia, tachycardia, respiratory collapse, hypersalivation, lacrimation, sweating, dilatation of the pupils and bradycardia. Skin findings may include percussion myoedema, bite marks and bruises.
Physical Examination
Vital Signs
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin
HEENT
Neck
- No abnormal findings
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated.
- Wheezing may be present due to aspiration or chest infection
- Normal/reduced tactile fremitus
Heart
Abdomen
- Guarding may be present
Genitourinary
- No abnormal findings
Neuromuscular
- Opisthotonos
- Altered mental status
- Increased tendon reflexes with extensor plantar responses
- Flaccid paralysis with generalized areflexia when patient develops coma
- Nuchal rigidity
- Increased muscle tone
- Fasciculations
Extremities
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity