Shigellosis physical examination: Difference between revisions

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{{Shigellosis}}
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{{CMG}} '''Associate Editor(s)-In-Chief:''' [[User:YazanDaaboul|Yazan Daaboul]]; [[User:Sergekorjian|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==
==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:
*[[Fever]]
*[[Tachycardia]]
*[[Tachypnea]]
*[[Hypotension]]
===Skin===
*Poor skin turgor
===HEENT===
*Conjunctival pallor
*[[Xerophthalmia]] (dry eyes)
*[[Xerostomia]] (dry oral mucous membranes)
===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]].


* [[Dehydration]] with [[fast heart rate]] and [[low blood pressure]]
===Vascular===
* Abdominal tenderness
*Flat [[jugular vein]]
*Prolonged [[capillary refill time]]


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


[[de:Bakterienruhr]]
[[es:Shigelosis]]
[[ru:Шигеллёз]]


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


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Latest revision as of 19:04, 18 September 2017

Shigellosis Microchapters

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Overview

Historical Perspective

Pathophysiology

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Differentiating Shigellosis from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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History and Symptoms

Physical Examination

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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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