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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.

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Middle East respiratory syndrome coronavirus infection physical examination

Introduction

Overview

Overview

Patients with MERS-CoV infection typically present with vital signs derangement, such as high-grade fever, tachycardia, tachypnea, and decreased oxygen saturation. Signs on physical examination may include decreased breath sounds, crackles, dullness on percussion, and increased tactile fremitus on pulmonary auscultation. Signs of complications may also be present, such as profound hypotension (suggestive of shock) or pericardial rub (suggestive of pericarditis).[1][2][3]

Physical Examination

Physical Examination

Typical signs on physical examination for MERS-CoV primary infection are shown below. Additionally, signs for MERS-CoV-associated complications may also be present.

General Appearance

  • Hospitalized patients are usually sick-looking and may be in a critically ill condition.[3][4]

Vital Signs

HEENT

  • Tonsillar swelling

Cardiothoracic

References

References

  1. ↑ Dyall J, Coleman CM, Hart BJ, Venkataraman T, Holbrook MR, Kindrachuk J; et al. (2014). “Repurposing of clinically developed drugs for treatment of Middle East Respiratory Coronavirus Infection”. Antimicrob Agents Chemother. doi:10.1128/AAC.03036-14. PMID 24841273.
  2. ↑ “Clinical management of severe acute respiratory infections when novel coronavirus is suspected: What to do and what not to do” (PDF).
  3. ↑ 3.0 3.1 “MERS Prevention and Treatment”.
  4. ↑ Memish, Ziad A.; Zumla, Alimuddin I.; Assiri, Abdullah (2013). “Middle East Respiratory Syndrome Coronavirus Infections in Health Care Workers”. New England Journal of Medicine. 369 (9): 884–886. doi:10.1056/NEJMc1308698. ISSN 0028-4793.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]