Mononucleosis physical examination: Difference between revisions
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{{Mononucleosis}} | {{Mononucleosis}} | ||
{{CMG}} | {{CMG}}; {{AOEIC}} {{LG}} | ||
==Overview== | ==Overview== | ||
Occasionally, patients infected with [[EBV]] may also display [[splenomegaly]], with subsequent life-threatening complication of [[spleenic rupture]] and/or [[hepatomegaly]]. | |||
==Physical Examination== | ==Physical Examination== | ||
===Skin=== | ===Skin=== | ||
*[[Petechial]] [[hemorrhage]] | |||
* [[Jaundice]] may be present in some cases | * [[Jaundice]] may be present in some cases | ||
===Eyes=== | ===Eyes=== | ||
* Supra-orbital | * [[oedema|Supra-orbital oedema]]: the eyes become puffy and swollen—may occur in the early stages of infection | ||
===Ear Nose and Throat=== | ===Ear Nose and Throat=== | ||
| Line 17: | Line 19: | ||
=== Abdomen === | === Abdomen === | ||
* * | *[[Splenomegaly]]. Rupture may occur without trauma, but impact to the spleen is also a factor. | ||
*[[Hepatomegaly]]: other complications include [[hepatitis]] causing elevation of serum bilirubin (in approximately 40% of patients), jaundice (approximately 5% of cases), and [[anemia]] (a deficiency of red blood cells). In rare cases, death may result from [[hepatitis|severe hepatitis]] or [[splenic rupture]]. | |||
===Genitourinary=== | ===Genitourinary=== | ||
Revision as of 03:09, 27 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S. [2]
Overview
Occasionally, patients infected with EBV may also display splenomegaly, with subsequent life-threatening complication of spleenic rupture and/or hepatomegaly.
Physical Examination
Skin
- Petechial hemorrhage
- Jaundice may be present in some cases
Eyes
- Supra-orbital oedema: the eyes become puffy and swollen—may occur in the early stages of infection
Ear Nose and Throat
- White patches on the tonsils and back of the throat are often seen
- Tender and enlarged/swollen lymph nodes—particularly the posterior cervical lymph nodes, on both sides of the neck.
Abdomen
- Splenomegaly. Rupture may occur without trauma, but impact to the spleen is also a factor.
- Hepatomegaly: other complications include hepatitis causing elevation of serum bilirubin (in approximately 40% of patients), jaundice (approximately 5% of cases), and anemia (a deficiency of red blood cells). In rare cases, death may result from severe hepatitis or splenic rupture.
Genitourinary
- Enlarged prostate