Listeriosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The findings on the [[physical examination]] depend on the clinical manifestation of listeriosis. Common findings include [[fever]], [[tachycardia]], [[pallor]], and [[abdominal tenderness]]. Signs of [[neurological]] involvement may include [[altered mental state]], [[paralysis]], [[respiratory failure]], and [[coma]]. | |||
==Physical Examination== | |||
The findings on the [[physical examination]] depend on the clinical manifestation of listeriosis. Click on the links below for the exact clinical manifestation you are lookig for: | |||
* [[Listeriosis physical examination#Febrile Gastroenteritis|Febrile gastroenteritis]] | |||
* [[Listeriosis physical examination#Infection in Pregnancy|Infection in pregnancy]] | |||
* [[Listeriosis physical examination#Sepsis of Unknown Origin|Sepsis of unknown origin]] | |||
* [[Listeriosis physical examination#Meningoencephalitis|Meningoencephalitis]] | |||
* [[Listeriosis physical examination#Encephalitis|Encephalitis]] | |||
* [[Listeriosis physical examination#Rhombencephalitis|Rhombencephalitis]] | |||
* [[Listeriosis physical examination#Brain Abscess|Brain abscess]] | |||
* [[Listeriosis physical examination#Spinal Cord Infection|Spinal cord infection]] | |||
* [[Listeriosis physical examination#Endocarditis|Endocarditis]] | |||
==Febrile Gastroenteritis== | ==Febrile Gastroenteritis== | ||
== | {| class="wikitable" style="border: 2; background: none;" | ||
! colspan="1" rowspan="1" style="border: 1; background: 1;" |Organ System | |||
! colspan="1" rowspan="1" |Findings | |||
|- | |||
! rowspan="1" style="border: 1; background: none;" |General Appearance | |||
|Patient is ill-looking | |||
|- | |||
! rowspan="4" style="border: 1; background: none;" |Vital Signs | |||
|[[Fever]] | |||
|- | |||
|[[Tachycardia]] | |||
|- | |||
|[[Tachypnea]] | |||
|- | |||
|[[Hypotension]] | |||
|- | |||
! style="border: 1; background: none;" |Skin | |||
|[[Pallor]] | |||
|- | |||
! style="border: 1; background: none;" |'''HEENT''' | |||
|Dry [[mucous membranes]] | |||
|- | |||
! rowspan="2" style="border: 1; background: none;" |Neurologic | |||
|[[Altered mental status]] | |||
|- | |||
|[[Focal neurologic signs|Motor and sensory focal neurologic signs]] | |||
|- | |||
! rowspan="2" style="border: 1; background: none;" |Abdominal | |||
|[[Abdominal tenderness]] | |||
|- | |||
|[[Abdominal distention]] | |||
|} | |||
==Sepsis of Unknown Origin== | ==Sepsis of Unknown Origin== | ||
==== | {| class="wikitable" style="border: 2; background: none;" | ||
! colspan="1" rowspan="1" style="border: 1; background: 1;" |Organ System | |||
! colspan="1" rowspan="1" |Findings | |||
|- | |||
! rowspan="5" style="border: 1; background: none;" |Vital Signs | |||
|[[Fever]] | |||
|- | |||
|[[Tachycardia]] | |||
|- | |||
|[[Tachypnea]] | |||
|- | |||
|[[Hypotension]] | |||
|- | |||
|Weak peripheral [[pulses]] | |||
|- | |||
! rowspan="2" style="border: 1; background: none;" |Skin | |||
|[[Pallor]] | |||
|- | |||
|[[Cyanosis]] | |||
|- | |||
! rowspan="3" style="border: 1; background: none;" |'''HEENT''' | |||
|Dry [[mucous membranes]] | |||
|- | |||
|[[Lymphadenopathy]] | |||
|- | |||
|[[Papilledema]] on fundoscopic exam | |||
|- | |||
! rowspan="2" style="border: 1; background: none;" |Neurologic | |||
|[[Altered mental status]] | |||
|- | |||
|[[Focal neurologic signs|Motor and sensory focal neurologic signs]] | |||
|- | |||
! rowspan="1" style="border: 1; background: none;" |Abdominal | |||
|[[Abdominal tenderness]] | |||
|} | |||
==== | ==Central Nervous System Infection== | ||
{| class="wikitable" style="border: 2; background: none;" | |||
! colspan="1" rowspan="1" style="border: 1; background: 1;" |Organ System | |||
! colspan="1" rowspan="1" |Findings | |||
|- | |||
! rowspan="5" style="border: 1; background: none;" |Vital Signs | |||
|[[Fever]] | |||
|- | |||
|[[Tachycardia]] | |||
|- | |||
|[[Tachypnea]] | |||
|- | |||
|[[Hypotension]] | |||
|- | |||
|Weak peripheral [[pulses]] | |||
|- | |||
! rowspan="2" style="border: 1; background: none;" |Skin | |||
|[[Pallor]] | |||
|- | |||
|[[Skin rash]] | |||
|- | |||
! rowspan="3" style="border: 1; background: none;" |'''HEENT''' | |||
|Bulging [[fontanelles]] may be present ([[neonates]]) | |||
|- | |||
|[[Papilledema]] on [[Fundoscopy|fundoscopic exam]] | |||
|- | |||
|[[Neck stiffness]] may be present (typically absent in [[neonates]]) | |||
|- | |||
! rowspan="6" style="border: 1; background: none;" |Neurologic | |||
|[[Altered mental status]] | |||
|- | |||
|[[Focal neurologic signs|Motor and sensory focal neurologic signs]] | |||
|- | |||
|[[Autonomic dysfunction]] may be present | |||
|- | |||
|[[Hemiparesis]] may be present | |||
|- | |||
|[[Ataxia]] may be present | |||
|- | |||
|[[Dystonia]] may be present | |||
|} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | {{WH}} | ||
{{WS}} | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Neurology]] | |||
[[Category:Gastroenterology]] | |||
Latest revision as of 22:31, 29 July 2020
Listeriosis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Listeriosis physical examination On the Web |
American Roentgen Ray Society Images of Listeriosis physical examination |
Risk calculators and risk factors for Listeriosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
The findings on the physical examination depend on the clinical manifestation of listeriosis. Common findings include fever, tachycardia, pallor, and abdominal tenderness. Signs of neurological involvement may include altered mental state, paralysis, respiratory failure, and coma.
Physical Examination
The findings on the physical examination depend on the clinical manifestation of listeriosis. Click on the links below for the exact clinical manifestation you are lookig for:
- Febrile gastroenteritis
- Infection in pregnancy
- Sepsis of unknown origin
- Meningoencephalitis
- Encephalitis
- Rhombencephalitis
- Brain abscess
- Spinal cord infection
- Endocarditis
Febrile Gastroenteritis
Organ System | Findings |
---|---|
General Appearance | Patient is ill-looking |
Vital Signs | Fever |
Tachycardia | |
Tachypnea | |
Hypotension | |
Skin | Pallor |
HEENT | Dry mucous membranes |
Neurologic | Altered mental status |
Motor and sensory focal neurologic signs | |
Abdominal | Abdominal tenderness |
Abdominal distention |
Sepsis of Unknown Origin
Organ System | Findings |
---|---|
Vital Signs | Fever |
Tachycardia | |
Tachypnea | |
Hypotension | |
Weak peripheral pulses | |
Skin | Pallor |
Cyanosis | |
HEENT | Dry mucous membranes |
Lymphadenopathy | |
Papilledema on fundoscopic exam | |
Neurologic | Altered mental status |
Motor and sensory focal neurologic signs | |
Abdominal | Abdominal tenderness |
Central Nervous System Infection
Organ System | Findings |
---|---|
Vital Signs | Fever |
Tachycardia | |
Tachypnea | |
Hypotension | |
Weak peripheral pulses | |
Skin | Pallor |
Skin rash | |
HEENT | Bulging fontanelles may be present (neonates) |
Papilledema on fundoscopic exam | |
Neck stiffness may be present (typically absent in neonates) | |
Neurologic | Altered mental status |
Motor and sensory focal neurologic signs | |
Autonomic dysfunction may be present | |
Hemiparesis may be present | |
Ataxia may be present | |
Dystonia may be present |