Finding | Possible causes |
General assessment | |
Labile blood pressure |
|
Tachypnea |
|
Relative bradycardia¶ |
|
Weight loss |
|
Short stature or deceleration of linear growth |
|
Skin and scalp | |
Petechiae |
|
Papular lesions |
|
Eschar |
|
Erythema migrans or erythema migrans-like rashes |
|
Rose spots |
|
Salmon-pink rash with fever |
|
Malar erythema |
|
Palpable purpura |
|
Erythema nodosum |
|
Urticarial and/or serpiginous macular rash or band of erythema on the sides of the hands and feet |
|
Seborrheic rash or scalp lesions |
|
Lack of sweat during fever |
|
Sparse hair |
|
Blotchy skin with multiple areas of trauma |
|
Eyes | |
Conjunctivitis | |
Palpebral conjunctivitis |
|
Bulbar conjunctivitis |
|
Phlyctenular conjunctivitis |
|
Abnormal funduscopic examination | |
Ischemic retinopathy Ischemic optic neuropathy |
|
Choroid tubercles |
|
Raised yellow-white cottony lesions in nonvascular distribution |
|
Perivascular sheathing |
|
Other findings | |
Conjunctival hemorrhage |
|
Absent pupillary constrictor response |
|
Absent tears, absent corneal reflex |
|
Sinuses | |
Tenderness |
|
Oropharynx | |
Oral ulcers |
|
Pharyngeal hyperemia without exudate |
|
Dental abscess |
|
Hypodontia, adontia, or conical ("peg") teeth |
|
Smooth tongue without fungiform papillae and/or excessive salivation |
|
Gingival hypertrophy or inflammation |
|
Lymph nodes | |
Lymphadenopathy/lymphadenitis |
|
Chest | |
Tachypnea, crackles (rales) decreased or bronchial breath sounds, bronchophony, whispered pectoriloquy, tactile fremitus, dullness to percussion |
|
Cardiac murmur (new onset) |
|
Pericardial rub |
|
Abdomen | |
Hepatomegaly or splenomegaly |
|
Tenderness with palpation of the liver edge |
|
Abdominal mass |
|
Musculoskeletal | |
Bony tenderness |
|
Muscle tenderness |
|
Abnormal deep tendon reflexes |
|
Genitourinary | |
Perirectal tenderness or mass |
|
Genital ulcers, urethral discharge |
|
Perianal fistulae, skin tags, or fissures |
|
For sexually active females: Cervical motion tenderness, uterine or adnexal tenderness |
|
For males: Testicular tenderness |
|
EBV: Epstein-Barr virus; CMV: cytomegalovirus.
* Repeating the examination on multiple occasions is necessary to detect findings that develop or evolve after the initial assessment.
¶ Relative bradycardia: For patients ≥13 years with temperature ≥38.9°C (102°F), failure of the pulse to increase as expected with fever (approximately 10 beats per minute for each 0.6°C [1°F]).
Δ Newcastle disease is a viral infection associated with exposure to chickens or other birds.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟