Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Ascariasis physical examination
Introduction
Overview
Overview
The physical examination findings in ascariasis vary and it is usually dependent on the worm burden and the involved organ.[1]
Physical Examination
Physical Examination
General appearance
Most patients generally appear well with minimal or no symptoms on physical examination.[2]
Vital signs
A low-grade fever may occur in some patients with ascariasis.[2] A high grade fever may be seen when there are complications such as acute cholangitis, hepatic abscess, etc.[3]
HEENT
An icteric sclera due to obstructive jaundice from biliary ascariasis may be seen.[4]
Chest
Eosinophilic pneumonia (löffler’s syndrome) may occur in severe cases with the patient presenting with the following physical examination findings:[2][5]
- Dyspnea
- Dry rales
- Wheezing resulting from bronchospasms
Abdomen[1]
- Abdominal tenderness- Abdominal tenderness can be secondary to intestinal obstruction, appendicitis, biliary colic, acute cholangitis, acute cholecystitis, hepatic abscess, etc.[3]
- Abdominal distension
- Signs of acute bowel obstruction
Skin
References
References
- ↑ 1.0 1.1 1.2 Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). “Chapter 291:Ascariasis (Ascaris lumbricoides)”. Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1733–1734. ISBN 978-1-4557-7566-8.
- ↑ 2.0 2.1 2.2 Durand, Marlene (2015). “Chapter 288:Intestinal Nematodes (Roundworms)”. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases Updated Edition, Eighth Edition. Elsevier. pp. 3199–3207. ISBN 978-1-4557-4801-3.
- ↑ 3.0 3.1 Das AK (2014). “Hepatic and biliary ascariasis”. J Glob Infect Dis. 6 (2): 65–72. doi:10.4103/0974-777X.132042. PMC 4049042. PMID 24926166.
- ↑ Keating A, Quigley JA, Genterola AF (2012). “Obstructive jaundice induced by biliary ascariasis”. BMJ Case Rep. 2012. doi:10.1136/bcr-2012-007250. PMC 4544173. PMID 23239771.
- ↑ Kim, Kami; Weiss, Louis; Tanowitz, Herbert (2016). “Chapter 39:Parasitic Infections”. Murray and Nadel’s Textbook of Respiratory Medicine Sixth Edition. Elsevier. pp. 682–698. ISBN 978-1-4557-3383-5.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]