Listeriosis physical examination: Difference between revisions

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====Respiratory Rate====
====Respiratory Rate====
*[[Tachypnea]] may be present
*[[Tachypnea]] may be present
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===Skin===
===Skin===
*[[Cyanosis]] may be present
*[[Cyanosis]] may be present
*[[Jaundice]] may be present
* A rash may be present
* [[Pallor]] may be present
* [[Pallor]] may be present
* Lesions may be present
===Head===
* Abnormalities of the head/hair may include ___
* There may be evidence of trauma
===Eyes===
*Icteric sclera may be present
* [[Nystagmus]] may be present.
* Extra-ocular movements may be abnormal
*Pupils may not react to light
*Ophthalmoscopic exam may be abnormal with findings of ___
===Ears===
* Hearing acuity may be reduced
*[[Weber test]] may be positive
*[[Rinne test]] may be positive
* There may be [[exudate]] from the ear canal
* There may be [[tenderness]] on movement of the pinnae
===Nose===
* Nares may be inflamed
* There may be [[epistaxis]]
* There may be [[purulent]] exudate from the nares
* There may be [[tenderness]] to percussion of the sinuses
* The nares may be congested
===Throat===
===Throat===
* The throat may be erythematous
*Mucous membranes may be dehydrated
* There may be [[exudate]] in the throat
* There may be [[petechiae]] seen in the throat
* There may be tonsillar inflammation
 
===Neck===
===Neck===
*[[Jugular venous pressure]] may be elevated
*[[Carotid bruits]] may be present
*[[Lymph nodes]] 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===
===Abdomen===
*[[Abdominal distention]] may be present
*[[Abdominal tenderness]] 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===
*[[Clubbing]] may be present
*[[Cyanosis]] may be present
*[[Cyanosis]] may be present
*[[Edema]] may be present
===Neurologic===
===Neurologic===
* Mental status may be altered
* Mental status may be altered
* Glasgow coma scale is ___
* Clonus may be present
* Hyperactive reflexes may be present
* There are deficits in cranial nerves ___
Hypotension
Skin
Cyanosis
Throat[edit]
Lymphadenopathy
Extremities[edit]
Decreased peripheral pulses
Neurologic[edit]
Altered sensorium, lethargy, and coma.
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==References==
==References==

Revision as of 17:00, 23 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

Febrile Gastroenteritis

Appearance of the Patient

A patient with listeriosis will likely appear ill, complaining of fever, "body pain" and chills. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease.

Vitals

Temperature

Pulse

Rate
Strength
  • The pulse may be weak

Blood Pressure

Respiratory Rate

Skin

Throat

Abdomen

Infection in Pregnancy

Pregnant women with listeriosis often present with flu-like symptoms. Unborn infants sustain the most severe complications, such as fetal death, stillbirth or meningitis.[1]

Sepsis of Unknown Origin

Vitals

Temperature

Pulse

Rate
Strength
  • Peripheral pulses may be weak

Blood Pressure

Respiratory Rate

Skin

Throat

  • Mucous membranes may be dehydrated

Neck

Abdomen

Extremities

Neurologic

  • Mental status may be altered

References

  1. "Risk assessment of Listeria monocytogenes in ready-to-eat foods" (PDF).

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