Typhus physical examination: Difference between revisions
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*Bradycardia | *Bradycardia | ||
*Tachypnea and cough | *Tachypnea and cough | ||
===HEENT=== | |||
Conjunctival suffusion occurs in scrub typhus. | |||
===Skin=== | ===Skin=== | ||
Revision as of 16:05, 5 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical examination
Vitals
- Fever (as high as 104oF)
- Bradycardia
- Tachypnea and cough
HEENT
Conjunctival suffusion occurs in scrub typhus.
Skin
- A maculopapular, or petechial rash initially appears on the trunk and axilla and spreads to involve the rest of the body except for the face, palms, and soles.
- Rash is petechial in patients with epidemic or murine typhus.
- Eschar is found in the scrub form of typhus and is diagnostic. Eschar develops at the site of the arthropod bite as a painless papule. It then becomes indurated and enlarged. The center of the lesion becomes necrotic and develops into a black scab.
Lymph nodes
Regional lymphadenopathy Lymph nodes are often tender and enlarged. Generalized lymphadenopathy
Abdomnen
- Hepatomegaly
- Splenomegaly