Tuberculosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A physical exam can provide valuable information about the patient’s overall condition and other factors that may affect how tuberculosis is treated, such as HIV infection or other illnesses.
Physical Examination
Pulmonary Tuberculosis
Physical findings for pulmonary tuberculosis include:
Some patients with active tuberculosis might have a normal physical examination and further testing need to be done.
Extra-Pulmonary Tuberculosis
All forms of extra-pulmonary tuberculosis can include findings of pulmonary tuberculosis such as cachexia, fever, tachypnea, tachycardia, and can be associated with an active pulmonary infection, in which the physical examination would include cough, hemoptysis, and decreased breath sounds.
| Extra-Pulmonary Location | Additional Physical Examination Findings |
|---|---|
| Tuberculous Lymphadenitis | |
| Pleural Tuberculosis | |
| Skeletal Tuberculosis | |
| Central Nervous System Tuberculosis | |
| Tuberculosis Peritonitis | |
| Miliary Tuberculosis | |
| Tuberculous Pericarditis | Tachycardia, pulsus paradoxus and hypotension (in cardiac tamponade), jugular venous distension with a prominent Y descent and Kussmaul's sign, pleural dullness, a pericardial knock, pericardial rub and distant heart sounds, hepatomegaly, ascites, ankle edema. |
| Renal Tuberculosis | |