Rabies physical examination: Difference between revisions
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* [[Tachycardia]] | * [[Tachycardia]] | ||
* Respiratory and vascular collapse | * Respiratory and vascular collapse | ||
* Bradycardia | |||
=== Skin[edit | edit source] === | === Skin[edit | edit source] === | ||
* 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 | ||
* Bruises | * Bruises | ||
=== HEENT[edit | edit source] === | === HEENT[edit | edit source] === | ||
Line 48: | Line 45: | ||
=== Neck[edit | edit source] === | === Neck[edit | edit source] === | ||
* | * Normal | ||
=== Lungs[edit | edit source] === | === Lungs[edit | edit source] === | ||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated. | |||
* [[Wheezing]] may be present due to aspiration or chest infection | |||
* Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | |||
* [[Wheezing]] may be present | |||
* Normal/reduced [[tactile fremitus]] | * Normal/reduced [[tactile fremitus]] | ||
=== Heart[edit | edit source] === | === Heart[edit | edit source] === | ||
* [[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#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] | |||
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] | |||
=== Abdomen[edit | edit source] === | === Abdomen[edit | edit source] === | ||
* Guarding may be present | * Guarding may be present | ||
=== Genitourinary[edit | edit source] === | === Genitourinary[edit | edit source] === | ||
* | * No abnormal findings | ||
=== Neuromuscular[edit | edit source] === | === Neuromuscular[edit | edit source] === | ||
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=== Extremities[edit | edit source] === | === Extremities[edit | edit source] === | ||
* | * Bite marks | ||
* Muscle atrophy | * Muscle atrophy | ||
* Fasciculations in the upper/lower extremity | * Fasciculations in the upper/lower extremity |
Revision as of 19:30, 27 September 2017
Rabies Microchapters |
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Rabies physical examination On the Web |
American Roentgen Ray Society Images of Rabies physical examination |
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:
Overview[edit | edit source]
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination[edit | edit source]
- Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Appearance of the Patient[edit | edit source]
- Patients with [disease name] usually appear [general appearance].
Vital Signs[edit | edit source]
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin[edit | edit source]
- Percussion myoedema (mounding of the muscle at the percussion site)[1]
- Bite marks
- Bruises
HEENT[edit | edit source]
- Hypersalivation
- Lacrimation
- Sweating
- Dilatation of the pupils
Neck[edit | edit source]
- Normal
Lungs[edit | edit source]
- 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[edit | edit source]
Abdomen[edit | edit source]
- Guarding may be present
Genitourinary[edit | edit source]
- No abnormal findings
Neuromuscular[edit | edit source]
- 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[edit | edit source]
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity
References[edit | edit source]
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