A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
- Inspection (viewing).
- Skin, mucous membranes, and sclerae (white part of the eye) [conjunctivitis (conjunctivitis); jaundice (jaundice); exanthema (rash)] [due todifferential diagnoses: morbilli (measles); erythema infectiosum (ringworm); rubella (rubella); scarlatina (scarlet fever)]
- Auscultation (listening) of the heart [due topossible sequelae: Heart failure (heart failure); cardiogenic shock (acute restriction of cardiac function with circulatory failure)]
- Auscultation (listening) of the lungs [pulmonary dysfunction to respiratory insufficiency (respiratory weakness)?]
- Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?) [pain in the right upper abdomen]
- Digital rectal examination (DRU): examination of the rectum (rectum) [due topossible sequelae: intestinal bleeding].
- Inspection (viewing).
- Ophthalmological examination [due topossible sequelae:
- Chorioretinitis (inflammation of the choroid (choroid) with retinal (retina) involvement).
- Iritis (inflammation of the menstrual membrane).
- Iridocyclitis (inflammation of the iris with involvement of the ciliary body).
- Uveitis (inflammation of the medial uvea)]
Square brackets [ ] indicate possible pathologic (pathological) physical findings.
