Rabies physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

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

Vital Signs

Skin

  • Percussion myoedema (mounding of the muscle at the percussion site)[1]
  • Bite marks
  • Bruises

HEENT

Neck

  • No abnormal findings

Lungs

Heart

  • S1 normal, soft
  • S2 normal

Abdomen

Genitourinary

  • No abnormal findings

Neuromuscular

Extremities

References

  1. Hemachudha T, Phanthumchinda K, Phanuphak P, Manutsathit S (1987). "Myoedema as a clinical sign in paralytic rabies". Lancet. 1 (8543): 1210. PMID 2883526.



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