Suppurative thrombophlebitis physical examination: Difference between revisions

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==Overview==
==Overview==
 
Common physical examination findings in patients with suppurative thrombophlebitis include [[fever]], [[tenderness]] and purulent drainage at the site of the involved vessel, [[erythema]], [[nausea]], [[vomiting]], and [[fatigue]].
==Physical Examination==
==Physical Examination==
===General Appearance===


===Vital Signs===
===Vital Signs===
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*Tenderness and purulent drainage at the site of the involved vessel
*Tenderness and purulent drainage at the site of the involved vessel
*Erythema
*Erythema
*Jaundice may be present in portal vein thrombophlebitis<ref name="pmid23882407">{{cite journal| author=Wong K, Weisman DS, Patrice KA| title=Pylephlebitis: a rare complication of an intra-abdominal infection. | journal=J Community Hosp Intern Med Perspect | year= 2013 | volume= 3 | issue= 2 | pages=  | pmid=23882407 | doi=10.3402/jchimp.v3i2.20732 | pmc=PMC3716219 | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23882407  }} </ref>


===HEENT===
===HEENT===
*Sore throat may be present in Lemierre disease
*Ear pain may be present in Lemierre disease
*Dental pain may be present in Lemierre disease<ref name="pmid24152679">{{cite journal| author=Eilbert W, Singla N| title=Lemierre's syndrome. | journal=Int J Emerg Med | year= 2013 | volume= 6 | issue= 1 | pages= 40 | pmid=24152679 | doi=10.1186/1865-1380-6-40 | pmc=PMC4015694 | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24152679  }} </ref>
===Neck===
===Neck===
*Neck pain may be present
*Neck pain may be present


===Lungs===
===Heart===
===Abdomen===
===Abdomen===
===Back===
*Abdominal tenderness in the lower abdomen may be present in septic pelvic thrombophlebitis<ref name="pmid17485796">{{cite journal| author=Garcia J, Aboujaoude R, Apuzzio J, Alvarez JR| title=Septic pelvic thrombophlebitis: diagnosis and management. | journal=Infect Dis Obstet Gynecol | year= 2006 | volume= 2006 | issue=  | pages= 15614 | pmid=17485796 | doi=10.1155/IDOG/2006/15614 | pmc=PMC1581461 | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17485796  }} </ref>
===Genitourinary===
*Nausea and vomiting may be present
===Extremities===
*Hepatomegaly may be present<ref name="pmid23882407">{{cite journal| author=Wong K, Weisman DS, Patrice KA| title=Pylephlebitis: a rare complication of an intra-abdominal infection. | journal=J Community Hosp Intern Med Perspect | year= 2013 | volume= 3 | issue= 2 | pages=  | pmid=23882407 | doi=10.3402/jchimp.v3i2.20732 | pmc=PMC3716219 | http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23882407  }} </ref>
===Neuromuscular===


==References==
==References==
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Primary care]]

Latest revision as of 00:21, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Maliha Shakil, M.D. [2]

Overview

Common physical examination findings in patients with suppurative thrombophlebitis include fever, tenderness and purulent drainage at the site of the involved vessel, erythema, nausea, vomiting, and fatigue.

Physical Examination

Vital Signs

  • A fever may be present

Skin

  • Tenderness and purulent drainage at the site of the involved vessel
  • Erythema
  • Jaundice may be present in portal vein thrombophlebitis[1]

HEENT

  • Sore throat may be present in Lemierre disease
  • Ear pain may be present in Lemierre disease
  • Dental pain may be present in Lemierre disease[2]

Neck

  • Neck pain may be present

Abdomen

  • Abdominal tenderness in the lower abdomen may be present in septic pelvic thrombophlebitis[3]
  • Nausea and vomiting may be present
  • Hepatomegaly may be present[1]

References

  1. 1.0 1.1 Wong K, Weisman DS, Patrice KA (2013). "Pylephlebitis: a rare complication of an intra-abdominal infection". J Community Hosp Intern Med Perspect. 3 (2). doi:10.3402/jchimp.v3i2.20732. PMC 3716219. PMID 23882407. Unknown parameter |http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom= ignored (help)
  2. Eilbert W, Singla N (2013). "Lemierre's syndrome". Int J Emerg Med. 6 (1): 40. doi:10.1186/1865-1380-6-40. PMC 4015694. PMID 24152679. Unknown parameter |http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom= ignored (help)
  3. Garcia J, Aboujaoude R, Apuzzio J, Alvarez JR (2006). "Septic pelvic thrombophlebitis: diagnosis and management". Infect Dis Obstet Gynecol. 2006: 15614. doi:10.1155/IDOG/2006/15614. PMC 1581461. PMID 17485796. Unknown parameter |http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom= ignored (help)


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