Viral Hemorrhagic Fever: Examination

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; further:
    • Inspection (viewing).
      • Skin, mucous membranes and sclerae (white part of the eye) [jaundice (jaundice); exanthema (rash) – usually petechial (punctate skin bleeding), possibly also ecchymosis – small area skin bleeding, etc.].
      • Abdomen (abdomen)
        • Shape of the abdomen?
        • Skin color? Skin texture?
        • Efflorescences (skin changes)?
        • Pulsations? Bowel movements?
        • Visible vessels?
        • Scars? Hernias (fractures)?
    • Auscultation (listening) of the heart.
    • Auscultation (listening) of the lungs
    • Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knock pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)
  • Neurological examination [e. E.g. due tosuspicion of: Meningismus and photophobia, cerebral hemorrhage, encephalitis]

Square brackets [ ] indicate possible pathological (pathological) physical findings.