Typhus physical examination: Difference between revisions
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{{CMG}} ; {{AE}}{{ADG}} | {{CMG}} ; {{AE}}{{ADG}} | ||
==Overview== | ==Overview== | ||
Typhus fever presents with high grade fever and a maculopapular rash. Cervical lymphadenopathy is present in majority of the patients. Physical examination usually reveal combination of several non-specific findings. | |||
==Physical examination== | ==Physical examination== | ||
===Vitals=== | ===Vitals=== |
Revision as of 15:53, 9 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Typhus fever presents with high grade fever and a maculopapular rash. Cervical lymphadenopathy is present in majority of the patients. Physical examination usually reveal combination of several non-specific findings.
Physical examination
Vitals
- Fever (as high as 104oF)
- Bradycardia
- Tachypnea and cough
HEENT
- Conjunctival suffusion occurs in scrub typhus.
Skin
- A maculopapular, or petechial rash initially appears on the trunk and axilla and spreads to involve the rest of the body except for the face, palms, and soles.
- Rash is petechial in patients with epidemic or murine typhus.
- Eschar is found in the scrub form of typhus and is diagnostic. Eschar develops at the site of the arthropod bite as a painless papule. It then becomes indurated and enlarged. The center of the lesion becomes necrotic and develops into a black scab.
Lymph nodes
- Generalized lymphadenopathy
- Lymph nodes are often tender and enlarged.
Abdomnen
- Hepatomegaly
- Splenomegaly