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{{Shigellosis}}
{{Shigellosis}}
 
{{CMG}} '''Associate Editor(s)-In-Chief:''' [[User:YazanDaaboul|Yazan Daaboul]]; [[User:Sergekorjian|Serge Korjian]]
==Overview==
==Overview==
Patients with shigellosis commonly appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 30 to 40% of cases. Rarely, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.
Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse [[abdominal tenderness]] in more than 70% of cases and [[fever]] in approximately 25% to 40% of cases. Less commonly, physical examination is remarkable for signs of [[dehydration]], such as [[hypotension]], [[tachycardia]], and dry mucous membranes.


==Shigellosis Physical Examination==
==Physical Examination==
===General Appearance===
===General Appearance===
*Lethargic
*Lethargic
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===Vital Signs===
===Vital Signs===
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:
Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:
*Fever
*[[Fever]]
*Tachycardia
*[[Tachycardia]]
*Tachypnea
*[[Tachypnea]]
*Hypotension
*[[Hypotension]]


===Skin===
===Skin===
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===HEENT===
===HEENT===
*Conjunctival pallor
*Conjunctival pallor
*Xerophthalmia (dry eyes)
*[[Xerophthalmia]] (dry eyes)
*Xerostomia (Dry oral mucous membranes)
*[[Xerostomia]] (dry oral mucous membranes)


===Abdomen===
===Abdomen===
*Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of distal sigmoid colon and rectum.
*Distended bowels
*Hyperactive bowel sounds
*Diffuse [[abdominal tenderness]] on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of the distal [[sigmoid colon]] and/or [[rectum]].


===Vascular===
===Vascular===
*Flat jugular vein
*Flat [[jugular vein]]
*Prolonged capillary refill time
*Prolonged [[capillary refill time]]


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Disease]]


[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]


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Latest revision as of 19:04, 18 September 2017

Shigellosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Yazan Daaboul; Serge Korjian

Overview

Patients with shigellosis usually appear lethargic. Physical examination of patients with shigellosis is usually remarkable for diffuse abdominal tenderness in more than 70% of cases and fever in approximately 25% to 40% of cases. Less commonly, physical examination is remarkable for signs of dehydration, such as hypotension, tachycardia, and dry mucous membranes.

Physical Examination

General Appearance

  • Lethargic
  • Toxic-appearing

Vital Signs

Vital signs are generally within normal limit, but patients with severe disease and dehydration may have the following vital signs derangements:

Skin

  • Poor skin turgor

HEENT

Abdomen

  • Distended bowels
  • Hyperactive bowel sounds
  • Diffuse abdominal tenderness on light palpation. Abdominal tenderness may be more prominent in lower abdominal quadrants due to involvement of the distal sigmoid colon and/or rectum.

Vascular

References



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