Professional Documents
Culture Documents
Lecture 2
Marc Imhotep Cray, M.D. Redrawn from: Hammer GD and McPhee. Pathophysiology of Disease: An Introduction to Clinical Medicine, 2014
Obtaining a Hx in Dx of ID cont.
Component Feature Examples of Infection
Past medical history (including Immunocompromise (eg, HIV, Pneumocystis jirovecii pneumonia
medications, allergies, and organ transplant, corticosteroid in patients with AIDS
immunizations) use, chemotherapy, asplenia)
Comorbid disease (eg, chronic Limb-threatening soft tissue
obstructive lung disease, diabetes infections in diabetic patients
mellitus, alcohol abuse)
Transfusions Blood-borne infections such as
cytomegalovirus or hepatitis C virus
Redrawn from: Hammer GD and McPhee. Pathophysiology of Disease: An Introduction to Clinical Medicine, 2014
Redrawn from: Hammer GD and McPhee. Pathophysiology of Disease: An Introduction to Clinical Medicine, 2014
Review of systems Symptoms by organ system History of headache raises concern for central
nervous system infection; diarrhea raises
concern for gastroenteritis
Marc Imhotep Cray, M.D.
Physical Examination
1. Skin
2. Hands and nails
3. Oropharynx
4. Head and neck
5. Eyes
6. Neurological
7. Heart and lungs
8. Abdomen
9. Musculoskeletal
10. Genitalia and rectum
FIGURE 50-2
Usatine RP. et al. The Color Atlas of Family Medicine.
New York: McGraw-Hill, 2013
FIGURE 53-5
Usatine RP. et al. The Color Atlas of Family Medicine. New
York: McGraw-Hill, 2013
Marc Imhotep Cray, M.D.
8. Abdomen Tense ascites in a woman with cirrhosis from her
alcoholism. An umbilical hernia is also seen from
increased intraabdominal pressure.
Hepatosplenomegaly
Ascites
Renal angle tenderness
Mass lesions
Surgical drains
FIGURE 61-5
Usatine RP. et al. The Color Atlas of Family Medicine. New
York: McGraw-Hill, 2013
FIGURE 95-16
Usatine RP. et al. The Color Atlas of Family Medicine. New
York: McGraw-Hill, 2013
Ulceration or discharge
Testicular swelling or nodules
Inguinal lymphadenopathy
Prostatic tenderness
Rectal fluctuance
FIURE 80-4
Usatine RP. et al. The Color Atlas of Family
Marc Imhotep Cray, M.D. Medicine. New York: McGraw-Hill, 2013
Clinical Examination of
Patients with Infectious Disease
Illustrated Summary:
42
Sources and further study:
Innes JA Ed. Davidson's Essentials of Medicine, 2nd Ed.. Edinburgh, UK. Elsevier, 2016
Bloch KC. Ch. 4 Infectious Diseases, Pgs. 61-87 In: Hammer GD and McPhee Eds. JS.
Pathophysiology of Disease : An Introduction to Clinical Medicine, 7th Ed. New York: McGraw-
Hill Education, 2014
Usatine RP. et al. The Color Atlas of Family Medicine. New York: McGraw-Hill, 2013
Textbooks:
Ryan KJ and Ray CG Eds. Sherris Medical Microbiology, 5th Ed. New York: McGraw-Hill, 2010
Carroll KC etal. Jawetz, Melnick, & Adelberg’s Medical Microbiology 27th Ed. New York:
McGraw-Hill, 2016