Which physical findings are characteristic of systemic omphalitis?

Updated: May 20, 2019
  • Author: Patrick G Gallagher, MD; Chief Editor: Santina A Zanelli, MD  more...
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Answer

Signs of sepsis or other systemic disease are nonspecific and include disturbances of thermoregulation or evidence of dysfunction of multiple organ systems. Examples include the following:

  • Disturbances of thermoregulation: Fever (temperature >38°C), hypothermia (temperature <36°C), or temperature instability

  • Cardiovascular disturbances: Tachycardia (pulse >180 beats per minute [bpm]), hypotension (systolic blood pressure <60 mm Hg in full-term infants), or delayed capillary refill (<2-3 seconds)

  • Respiratory disturbances: Apnea, tachypnea (respirations >60/min), grunting, flaring of the alae nasi, intercostal or subcostal retractions, or hypoxemia

  • Gastrointestinal tract disturbances: Rigid or distended abdomen or absent bowel sounds

  • Cutaneous abnormalities: Jaundice, petechiae, or cyanosis

  • Neurologic abnormalities: Irritability, lethargy, weak sucking, hypotonia, or hypertonia


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