Pertussis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}; {{AE}} {{ADI}} | {{CMG}}; {{AE}} {{ADI}}; | ||
{{Pertussis}} | {{Pertussis}} | ||
==Overview== | ==Overview== | ||
The physical examination of a patient with pertussis is usually unremarkable. [[Low grade fever]], [[cyanosis]], and [[Conjunctival hemorrhage|conjunctival hemorrhages]] may be observed. Involvement of the [[lower respiratory tract]] indicates another underlying or concomitant process. | |||
==Physical Examination== | |||
* The physical examination of a patient with pertussis is usually unremarkable. | |||
* It may help rule out other upper or lower respiratory tract infections. | |||
===Appearance of the Patient=== | |||
*Patients with pertussis usually appear ill.<ref name="urlCDC - Pertussis: Clinical Features">{{cite web |url=http://www.cdc.gov/pertussis/clinical/features.html |title=CDC - Pertussis: Clinical Features |format= |work= |accessdate=}}</ref> | |||
*Exhaustion is common due to the intensity of coughing paroxysms and potential [[vomiting]] fits. | |||
===Vital Signs=== | ===Vital Signs=== | ||
* Low grade | * [[Low grade fever]] is often present in pertussis patients during the catarrhal stage.<ref name="urlCDC - Pertussis: Clinical Features">{{cite web |url=http://www.cdc.gov/pertussis/clinical/features.html |title=CDC - Pertussis: Clinical Features |format= |work= |accessdate=}}</ref> | ||
* [[Fever]] is usually absent in most patients at the time of presentation (usually in paroxysmal stage) | |||
===Skin=== | |||
* [[Cyanosis]] can be present due to the intense coughing. <ref name="PinkBook">{{cite web |url=http://www.cdc.gov/vaccines/pubs/pinkbook/pert.html |title=Pinkbook | Pertussis | Epidemiology of Vaccine Preventable Diseases | CDC |format= |work= |accessdate=}}</ref> | |||
* [[Bruising]] can occur due to the coughing paroxysms. | |||
===Eye=== | ===Eye=== | ||
* Conjunctival hemorrhage | * [[Conjunctival hemorrhage|Conjunctival hemorrhages]] may secondary to the violent coughing spasms.<ref name="urlCDC - Pertussis: Clinical Features">{{cite web |url=http://www.cdc.gov/pertussis/clinical/features.html |title=CDC - Pertussis: Clinical Features |format= |work= |accessdate=}}</ref> | ||
=== Lungs === | |||
* [[Lungs]] are usually clear, signs of [[Lower respiratory tract infection|lower tract infection]] in not consistent with pertussis and may indicate another concomitant or underlying process. | |||
==References== | ==References== | ||
Latest revision as of 20:29, 14 January 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2];
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Pertussis physical examination On the Web |
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Overview
The physical examination of a patient with pertussis is usually unremarkable. Low grade fever, cyanosis, and conjunctival hemorrhages may be observed. Involvement of the lower respiratory tract indicates another underlying or concomitant process.
Physical Examination
- The physical examination of a patient with pertussis is usually unremarkable.
- It may help rule out other upper or lower respiratory tract infections.
Appearance of the Patient
- Patients with pertussis usually appear ill.[1]
- Exhaustion is common due to the intensity of coughing paroxysms and potential vomiting fits.
Vital Signs
- Low grade fever is often present in pertussis patients during the catarrhal stage.[1]
- Fever is usually absent in most patients at the time of presentation (usually in paroxysmal stage)
Skin
- Cyanosis can be present due to the intense coughing. [2]
- Bruising can occur due to the coughing paroxysms.
Eye
- Conjunctival hemorrhages may secondary to the violent coughing spasms.[1]
Lungs
- Lungs are usually clear, signs of lower tract infection in not consistent with pertussis and may indicate another concomitant or underlying process.