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==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 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.
 


==Shigellosis Physical Examination==
==Shigellosis Physical Examination==

Revision as of 03:48, 6 April 2015

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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.

Shigellosis 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
  • Dry mucous membranes

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.

Vascular

  • Flat jugular vein
  • Prolonged capillary refill time

References


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