Actinomycosis physical examination: Difference between revisions
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===Oral cavity=== | ===Oral cavity=== | ||
*[[Oral ulcers]] can be seen in some patients | *[[Oral ulcers]] can be seen in some patients | ||
*Poor dental hygiene with dental caries | *Poor [[dental hygiene]] with dental caries | ||
*[[Trismus]] | |||
===Lymph nodes=== | ===Lymph nodes=== | ||
*In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen. | *In cases with [[skin]] involvement from direct [[inoculation]], regiona[[Lymphadenopathy|l lymph node enlargement]] may be seen. | ||
===Neck=== | ===Neck=== | ||
*No masses | *No [[Mass|masses]] | ||
*[[Suppurative]] [[abscesses]] with [[fistula]] tracts or draining [[sinuses]] | |||
===Cardiovascular system=== | ===Cardiovascular system=== | ||
*Regular rate and rhythm | *Regular rate and rhythm | ||
| Line 27: | Line 30: | ||
*[[Percussion of the lungs|Dullness to percussion]] | *[[Percussion of the lungs|Dullness to percussion]] | ||
*Increased [[fremitus]] | *Increased [[fremitus]] | ||
*Signs of pleura involvement such as pleuritic rub. | *Signs of [[pleura]] involvement such as [[pleuritic]] rub. | ||
===Abdominal=== | ===Abdominal=== | ||
* | *A palpable [[mass]] can be present in any quadrant of abdomen. | ||
* | *Most common in [[Right lower quadrant abdominal pain resident survival guide|right lower quadrant]]( [[ileocecal valve]]) due to its association with [[appendicitis]]. | ||
===Skin=== | ===Skin=== | ||
*Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside. | *[[Nodular]] lesions which gradually increase in size and number resulting in [[Cutaneous abscess|multiple abscesses]], and ultimately forming [[sinuses]] that open outside. | ||
* | *[[Skin]] around the [[abscess]] appears [[Swelling|swollen]], [[erythematous]], or [[Ecchymosis|ecchymotic]] | ||
===Genitourinary system=== | ===Genitourinary system=== | ||
| Line 44: | Line 44: | ||
*[[Pyuria]] | *[[Pyuria]] | ||
*[[Dysuria|Painful urination]] | *[[Dysuria|Painful urination]] | ||
*Pelvic mass | *[[Pelvic masses|Pelvic mass]] | ||
*Menometrorrhagia | *[[Menometrorrhagia]] | ||
===Extremities=== | ===Extremities=== | ||
*[[Ulcers]] that bleed on touch | *[[Ulcers]] that bleed on touch | ||
=== | ===Nervous system examination=== | ||
*[[Stiff neck]] | |||
*[[ | *[[Photophobia]] | ||
*[[ | |||
==References== | ==References== | ||
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[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Overview complete]] | [[Category:Overview complete]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
Latest revision as of 16:18, 18 September 2017
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Actinomycosis Microchapters |
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Diagnosis |
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Treatment |
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Actinomycosis physical examination On the Web |
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American Roentgen Ray Society Images of Actinomycosis physical examination |
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Risk calculators and risk factors for Actinomycosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with actinomycosis are usually well-appearing. Physical examination reveals combination of several non-specific findings.
Physical Examination
The physical examination findings of actinomycosis are are mostly nonspecific and are described according to the organ involved [1]
Vital Signs
Oral cavity
- Oral ulcers can be seen in some patients
- Poor dental hygiene with dental caries
- Trismus
Lymph nodes
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Neck
- No masses
- Suppurative abscesses with fistula tracts or draining sinuses
Cardiovascular system
- Regular rate and rhythm
- Normal S1, S2
- No murmurs, rubs, or gallops
Lungs
Findings consistent with parenchymal consolidation such as
- Dullness to percussion
- Increased fremitus
- Signs of pleura involvement such as pleuritic rub.
Abdominal
- A palpable mass can be present in any quadrant of abdomen.
- Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis.
Skin
- Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside.
- Skin around the abscess appears swollen, erythematous, or ecchymotic
Genitourinary system
Extremities
- Ulcers that bleed on touch
Nervous system examination
References
- ↑ Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T (2014). "Actinomycosis: etiology, clinical features, diagnosis, treatment, and management". Infect Drug Resist. 7: 183–97. doi:10.2147/IDR.S39601. PMC 4094581. PMID 25045274.
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