Malaria physical examination: Difference between revisions

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===Throat===
===Throat===
* The [[throat]] may be erythematous
* The [[throat]] may be erythematous
===Lungs===
*[[Pulmonary edema]] may be present
*Consolidation may be present with reduced [[breath sounds]] auscultated
*Widening of intercostal space may be present (in severe cases of the disease, where there may be [[respiratory distress]])
===Abdomen===
*[[Abdominal distention]] may be present
*An abdominal mass may be present
*[[Hepatomegaly]] may be present
*[[Splenomegaly]] may be present


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Findings on physical examination may include pallor and hepatosplenomegaly. Rarely, acute Plas- modium infections present with splenic rupture requiring surgery or conservative management.375,376 Findings such as jaundice, diminished consciousness, or convulsions indicate severe malaria (see later). Rash, lymphadenopathy, and signs of pulmonary consolidation are distinctly uncommon.
Rarely, acute Plas- modium infections present with splenic rupture requiring surgery or conservative management.375,376 Findings such as jaundice, diminished consciousness, or convulsions indicate severe malaria (see later). Rash, lymphadenopathy, and signs of pulmonary consolidation are distinctly uncommon.
===Neck===
*[[Jugular venous pressure]] may be elevated
*[[Carotid bruits]] may be present
*[[Lymph nodes]] may be present
*[[Thyromegaly]] may be present
*[[Hepatojugular reflux]] may be present


===Lungs===
*[[Pulmonary edema]] and [[rales]] may be present
*[[Wheezing]] may be present
*Consolidation may be present with reduced breath sounds auscultated
*[[Rales]] may be present
*[[Egophony]] may be present
* Chest movement may be assymetric


===Heart===
*A [[heave]] may be present
*A [[thrill]] may be present
*A [[friction rub]] may be pressent


====Auscultation====
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*[[Heart sounds#Third heart sound S3|S3]]
*[[Heart sounds#Fourth heart sound S4|S4]]
*[[Heart sounds#Summation Gallop|Gallops]]
*A [[systolic murmur]] best heard at the base may be present
*A [[systolic murmur]] best heard at the apex may be present
*A [[diastolic murmur]] may be present


===Abdomen===
*[[Abdominal distention]] may be present
*[[Abdominal tenderness]] may be present
*[[Rebound tenderness]] may be present
*An [[acute abdomen]] may be present
*An abdominal mass may be present
*Guarding may be present
*[[Hepatomegaly]] may be present
*[[Splenomegaly]] may be present
*Genitourinary exam if relevant


===Extremities===
===Extremities===

Revision as of 18:30, 24 July 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Physical Examination

Appearance of the Patient

Vitals

Temperature

  • A fever is often present, according to the patterns described above

Pulse

Rate

Respiratory Rate

Skin

Eyes

Nose

Throat

  • The throat may be erythematous

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