Rabies physical examination: Difference between revisions
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== Overview[edit | edit source] == | == Overview[edit | edit source] == | ||
Common physical examination findings of rabies include | Common physical examination findings of rabies include [[hyperpyrexia]] alternating with [[hypothermia]], [[Tachycardia]], respiratory collapse, [[hypersalivation]], [[lacrimation]], [[sweating]], [[Pupillary dilation|dilatation of the pupils]] and [[bradycardia]]. Skin findings may include percussion myoedema, bite marks and [[bruises]]. | ||
== Physical Examination[edit | edit source] == | == Physical Examination[edit | edit source] == | ||
=== Vital Signs[edit | edit source] === | === Vital Signs[edit | edit source] === | ||
* Hyperpyrexia alternating with hypothermia | * [[Hyperpyrexia]] alternating with [[hypothermia]] | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
* Respiratory and vascular collapse | * [[Respiratory]] and [[vascular]] collapse | ||
* Bradycardia | * [[Bradycardia]] | ||
=== Skin[edit | edit source] === | === Skin[edit | edit source] === | ||
* Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | * Percussion myoedema (mounding of the muscle at the percussion site)<ref name="pmid2883526">{{cite journal |vauthors=Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S |title=Myoedema as a clinical sign in paralytic rabies |journal=Lancet |volume=1 |issue=8543 |pages=1210 |year=1987 |pmid=2883526 |doi= |url=}}</ref> | ||
* Bite marks | * Bite marks | ||
* Bruises | * [[Bruises]] | ||
=== HEENT[edit | edit source] === | === HEENT[edit | edit source] === | ||
* Hypersalivation | * [[Hypersalivation]] | ||
*Lacrimation | *[[Lacrimation]] | ||
*Sweating | *[[Sweating]] | ||
*Dilatation of the pupils | *[[Pupillary dilation|Dilatation of the pupils]] | ||
=== Neck[edit | edit source] === | === Neck[edit | edit source] === | ||
* | * No abnormal findings | ||
=== Lungs[edit | edit source] === | === Lungs[edit | edit source] === | ||
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=== Abdomen[edit | edit source] === | === Abdomen[edit | edit source] === | ||
* Guarding may be present | * [[Guarding]] may be present | ||
=== Genitourinary[edit | edit source] === | === Genitourinary[edit | edit source] === | ||
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=== Neuromuscular[edit | edit source] === | === Neuromuscular[edit | edit source] === | ||
* Opisthotonos | * [[Opisthotonos]] | ||
* Altered mental status | * [[Altered mental status]] | ||
* Increased tendon reflexes with extensor plantar responses | * Increased [[Tendon reflex|tendon reflexes]] with [[Extensor plantar reflexes|extensor plantar responses]] | ||
*Flaccid paralysis with generalized areflexia when patient develops coma | *[[Flaccid paralysis]] with generalized [[areflexia]] when patient develops [[coma]] | ||
* Nuchal rigidity | * [[Nuchal rigidity]] | ||
* Increased muscle tone | * Increased [[muscle tone]] | ||
* Fasciculations | * [[Fasciculations]] | ||
=== Extremities[edit | edit source] === | === Extremities[edit | edit source] === | ||
* Bite marks | * Bite marks | ||
* Muscle atrophy | * Muscle [[atrophy]] | ||
* Fasciculations in the upper/lower extremity | * [[Fasciculations]] in the upper/lower extremity | ||
==References== | ==References== | ||
Revision as of 03:36, 28 September 2017
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Rabies Microchapters |
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Diagnosis |
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Case Studies |
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Rabies physical examination On the Web |
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American Roentgen Ray Society Images of Rabies physical examination |
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Risk calculators and risk factors for Rabies physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview[edit | edit source]
Common physical examination findings of rabies include hyperpyrexia alternating with hypothermia, Tachycardia, respiratory collapse, hypersalivation, lacrimation, sweating, dilatation of the pupils and bradycardia. Skin findings may include percussion myoedema, bite marks and bruises.
Physical Examination[edit | edit source]
Vital Signs[edit | edit source]
- Hyperpyrexia alternating with hypothermia
- Tachycardia
- Respiratory and vascular collapse
- Bradycardia
Skin[edit | edit source]
HEENT[edit | edit source]
Neck[edit | edit source]
- No abnormal findings
Lungs[edit | edit source]
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally, if aspirated.
- Wheezing may be present due to aspiration or chest infection
- Normal/reduced tactile fremitus
Heart[edit | edit source]
Abdomen[edit | edit source]
- Guarding may be present
Genitourinary[edit | edit source]
- No abnormal findings
Neuromuscular[edit | edit source]
- Opisthotonos
- Altered mental status
- Increased tendon reflexes with extensor plantar responses
- Flaccid paralysis with generalized areflexia when patient develops coma
- Nuchal rigidity
- Increased muscle tone
- Fasciculations
Extremities[edit | edit source]
- Bite marks
- Muscle atrophy
- Fasciculations in the upper/lower extremity