Pertussis physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]; {{LRO}
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Overview
Patients with pertussis usually appear weak, ill, and exhausted, particularly due to the physically traumatic bouts of intense coughing that may be accompanied by vomiting. Common physical examination findings in pertussis patients include low-grade fever, cyanosis, bruising, and conjunctival hemorrhage.
Physical Examination
Appearance of the Patient
- Patients with Pertussis usually appear ill.[1]
- Exhausted appearance is common due to intensity of coughing and potential vomiting fits.
Vital Signs
- Low grade fever is often present in Pertussis patients.[1]
Skin
- Cyanosis can be present due to the intense coughing. [2]
- Bruising can occur due to the coughing paroxysms.
Eye
- Conjunctival hemorrhage can occur due to the violent coughing spasms..[1]