Listeriosis physical examination: Difference between revisions
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==Febrile Gastroenteritis== | ==Febrile Gastroenteritis== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
A patient with [[listeriosis]] | A patient with [[listeriosis]] typically appears ill | ||
===Vital Signs=== | ===Vital Signs=== | ||
====Temperature==== | ====Temperature==== | ||
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* [[Pallor]] may be present | * [[Pallor]] may be present | ||
===HEENT=== | ===HEENT=== | ||
* | * Dehydrated mucus membranes | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
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* [[Pallor]] | * [[Pallor]] | ||
===HEENT and Neck === | ===HEENT and Neck === | ||
* | *Dehydrated mucus membranes | ||
*[[Lymphadenopathy]] | *[[Lymphadenopathy]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
===Neurologic=== | ===Neurologic=== | ||
* Altered mental status | * [[Altered mental status]] | ||
* Papilledema on fundoscopic exam | * [[Papilledema]] on fundoscopic exam | ||
* Motor and sensory | * [[Focal neurologic signs|Motor and sensory focal neurologic signs]] | ||
==Central Nervous System Infection== | ==Central Nervous System Infection== | ||
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===HEENT and Neck=== | ===HEENT and Neck=== | ||
* Bulging fontanelles may be present (neonates) | * Bulging fontanelles may be present (neonates) | ||
* Papilledema on fundoscopic exam | * [[Papilledema]] on fundoscopic exam | ||
* [[Neck stiffness]] may be present (typically absent in neonates) | * [[Neck stiffness]] may be present (typically absent in neonates) | ||
===Neurologic=== | ===Neurologic=== | ||
* | * [[Altered mental status]] | ||
* Motor and sensory | * [[Focal neurologic signs|Motor and sensory focal neurologic signs]] | ||
* [[Autonomic dysfunction]] may be present | * [[Autonomic dysfunction]] may be present | ||
* [[Hemiparesis]] may be present | * [[Hemiparesis]] may be present | ||
Revision as of 15:00, 26 January 2016
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Listeriosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Listeriosis physical examination On the Web |
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American Roentgen Ray Society Images of Listeriosis physical examination |
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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
Appearance of the Patient
A patient with listeriosis typically appears ill
Vital Signs
Temperature
Skin
- Pallor may be present
HEENT
- Dehydrated mucus membranes
Abdomen
Sepsis of Unknown Origin
Vital Signs
- Fever
- Tachycardia
- Tachypnea
- Hypotension
- Weak peripheral pulses
Skin
HEENT and Neck
- Dehydrated mucus membranes
- Lymphadenopathy
Abdomen
Neurologic
- Altered mental status
- Papilledema on fundoscopic exam
- Motor and sensory focal neurologic signs
Central Nervous System Infection
Vital Signs
- Fever
- Tachycardia
- Tachypnea
- Hypotension
- Weak peripheral pulses
Skin
HEENT and Neck
- 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