Herpes simplex physical examination

, Associate Editor-In-Chief:

Overview
On physical examination multiple, round, superficial oral ulcers accompanied by acute gingivitis can be seen. Also lymphadenopathy, gingivitis and tonsillitis may accompany the primary lesions.

Physical examination
1) Blisters or Ulcers


 * Site - In orofacial herpes/herpes simplex 1 the ulcers are commonly found on lips, gums, throat, front of tongue, inside of the cheeks and roof of the mouth. Whereas, these occur around genitalia in cases of genital herpes/herpes simplex 2.
 * Size - Generally small (2-5 mm)
 * Shape - Round
 * The lesions may occur in groups/crop

2) Lymphadenopathy (cervical, Inguinal glands)

3) Gingivitis and tonsillitis in herpes simplex 1