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) [patchy (maculopapular) rash, usually beginning on the cheeks and spreading to the extremities; the individual skin lesions usually flow together and fade centrally; anemia (anemia) – mild progressive form]
- Auscultation (listening) of the heart [due topossible sequelae: Myocarditis (inflammation of the heart muscle), pericarditis (inflammation of the pericardium)]
- Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knock pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)
- Inspection (viewing).
- Gynecological examination in existing pregnancy [due topossible sequelae:
- Intrauterine infant death
- Hydrops fetalis (disease of the fetus with increased edema (fluid accumulation) in fetal soft tissues and serous body cavities)
- Spontaneous abortion (miscarriage)]
- Neurological examination [due topossible sequelae:
- Encephalitis (inflammation of the brain).
- Guillain-Barré syndrome (GBS; polyradiculitis) (neurologic disorder that can cause ascending motor paralysis and pain; usually caused by infection with the Campylobacter jejuni bacterium or cytomegalovirus)
- Meningitis (meningitis)
- Cerebellar ataxia (neurological syndrome resulting in gait disturbances due to cerebellar disease)]
Square brackets [ ] indicate possible pathological (pathological) physical findings.