Suppurative thrombophlebitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Maliha Shakil, M.D. [2]

Overview

Physical Examination

General Appearance

Vital Signs

  • A fever may be present

Skin

  • Tenderness and purulent drainage at the site of the involved vessel
  • Erythema

HEENT

  • Sore throat may be present in Lemierre disease
  • Ear pain may be present in Lemierre disease
  • Dental pain may be present in Lemierre disease[1]

Neck

  • Neck pain may be present

Lungs

Heart

Abdomen

  • Non-colicky and constant abdominal pain may be present in septic pelvic thrombophlebitis[2]
  • Abdominal tenderness in the lower abdomen may be present in septic pelvic thrombophlebitis[2]
  • Nausea and vomiting may be present
  • Hepatomegaly may be present[3]

Back

Genitourinary

Extremities

Neuromuscular

References

  1. Eilbert W, Singla N (2013). "Lemierre's syndrome". Int J Emerg Med. 6 (1): 40. doi:10.1186/1865-1380-6-40. PMC 4015694. PMID 24152679.
  2. 2.0 2.1 Garcia J, Aboujaoude R, Apuzzio J, Alvarez JR (2006). "Septic pelvic thrombophlebitis: diagnosis and management". Infect Dis Obstet Gynecol. 2006: 15614. doi:10.1155/IDOG/2006/15614. PMC 1581461. PMID 17485796.
  3. Wong K, Weisman DS, Patrice KA (2013). "Pylephlebitis: a rare complication of an intra-abdominal infection". J Community Hosp Intern Med Perspect. 3 (2). doi:10.3402/jchimp.v3i2.20732. PMC 3716219. PMID 23882407.


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