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Enterobiasis physical examination

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

Overview

Patients with enterobiasis usually appear restless. Physical examination of patients with enterobiasis is remarkable for skin excoriations as a result of scratching (secondary to perianal itch), perianal skin infections, and visualization of adult worms in the perianal area; usually at night.[1][2]

Physical Examination

Appearance of the patient

Patients with enterobiasis usually have a normal appearance.

  • The patient may be restless, fatigued, and irritable.
  • In advanced cases, the patient may appear thin/malnourished.

Vital signs

Vital signs in patients with enterobiasis are usually normal but may have:

  • Fever due to secondary infections and malnutrition
  • Low blood pressure

Skin

The patient may have:

HEENT

The patient may have:

Heart

  • Normal heart sounds
  • No murmurs, gallops or rubs

Abdomen

The Patient may have:

Genitourinary

The patient may have:

  • Urinary discharge
  • Vaginal discharge


References

  1. Cook GC (1994). “Enterobius vermicularis infection”. Gut. 35 (9): 1159–62. PMC 1375686. PMID 7959218.
  2. Caldwell JP (1982). “Pinworms (enterobius vermicularis)”. Can Fam Physician. 28: 306–9. PMC 2306321. PMID 21286054.

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