Lymphangitis physical examination: Difference between revisions
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{{Lymphangitis}} | {{Lymphangitis}} | ||
{{CMG}}; {{AE}} {{VR}}{{ | {{CMG}}; {{AE}} {{VR}}{{VD}} | ||
==Overview== | ==Overview== | ||
Depending on etiologies lymphangitis has spectrum of physical findings. | Depending on etiologies lymphangitis has spectrum of physical findings.<ref name=lymphangitis>lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016</ref> | ||
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Revision as of 17:24, 18 October 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]Vishal Devarkonda, M.B.B.S[3]
Overview
Depending on etiologies lymphangitis has spectrum of physical findings.[1]
Physical Examination
- Clinical examination findings of lymphangitis are variable, depending on the etiology. History and symptoms based on the classification as follows
Lymphangitis due to infectious etiology
Common physical examination findings of Acute lymphangitis
- Fever
- Red streaks from the infected area to the regional lymph node
- Tender lymph nodes
Signs Suggestive of Severe Infection Adapted from the 2005 IDSA Practice guidelines for the diagnosis and management of skin and soft-tissue infections.[2]
- Hypotension
- Cutaneous hemorrhage
- Disproportional pain
- Gas in the tissue
- Skin sloughing
- Violaceous bullae
Common physical examination findings of Chronic Granulomatous lymphangitis
- Painful or painless nodular subcutaneous swellings along the course of the lymphatic channels
- Tender lymph nodes
Common physical examination findings of Filarial lymphangitis
- Fever
- Lymphatic inflammation
- Tender lymph nodes
- Lymphangitis is retrograde, extending peripherally from the lymph node draining area.
- Transient lymph edema
Lymphangitis due to infectious etiology
Common physical examination findings Lymphangitis carcinomatosa
- Cyanosis
- Signs of pulmonary hypertension
- Auscultation reveals moist or dry crackles.
References
- ↑ lymphanitis Mandell, GERALD L. "Mandell, Douglas, and Bennett's." Principles and practice of infectious diseases 7 (1995) Accessed on October 12,2016
- ↑ Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ; et al. (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clin Infect Dis. 41 (10): 1373–406. doi:10.1086/497143. PMID 16231249.