Adenoiditis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]
Overview
Patients with adenoiditis are usually good-appearing. Physical examination of patients with adenoiditis is usually remarkable for fever, and purulent nasal discharges.[1][2][3]
Physical exam
Appearance of the Patient
- Patient is usually good-appearing in early stages, but may be ill appearing if the complications and disease severity are present.
Vital Signs
- Fever
- Tachycardia can be present as a result of infection or pneumonia
- Tachypnea can be present as a result of infection or pneumonia
HEENT
- Otoscopic examination of the ears may reveal the following signs indicative of concurrent otitis media:[4]
- Erythema of the middle ear
- Presence of purulent effusion[5]
- Bulging of the tympanic membrane in otitis media with effusion
- Cloudy appearance of the tympanic membrane
- Immobility of the tympanic membrane
- Tympanic membrane perforation
- Purulent exudate from nose can be present as a result of concurrent sinusitis
- Facial and maxillary tenderness can be present as a result of concurrent sinusitis or the acute adenoiditis itself
- Erythematous throat with tonsillar swelling, exudates, and/or petechiae
- Oral mucous may be dry with ulcers due to mouth breathing
Neck
- Lymphadenopathy of cervical nodes
Lungs
- Fine crackles upon auscultation of the lung due to concurrent pneumonia
References
- ↑ Kosikowska U, Korona-Głowniak I, Niedzielski A, Malm A (2015). "Nasopharyngeal and Adenoid Colonization by Haemophilus influenzae and Haemophilus parainfluenzae in Children Undergoing Adenoidectomy and the Ability of Bacterial Isolates to Biofilm Production". Medicine (Baltimore). 94 (18): e799. doi:10.1097/MD.0000000000000799. PMC 4602522. PMID 25950686.
- ↑ Kajan ZD, Sigaroudi AK, Mohebbi M (2016). "Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population". Dent Res J (Isfahan). 13 (4): 315–21. PMC 4993058. PMID 27605988.
- ↑ Galli J, Calò L, Ardito F, Imperiali M, Bassotti E, Fadda G, Paludetti G (2007). "Biofilm formation by Haemophilus influenzae isolated from adeno-tonsil tissue samples, and its role in recurrent adenotonsillitis". Acta Otorhinolaryngol Ital. 27 (3): 134–8. PMC 2640046. PMID 17883191.
- ↑ Rettig E, Tunkel DE (2014). "Contemporary concepts in management of acute otitis media in children". Otolaryngol. Clin. North Am. 47 (5): 651–72. doi:10.1016/j.otc.2014.06.006. PMC 4393005. PMID 25213276.
- ↑ Parlea E, Georgescu M, Calarasu R (2012). "Tympanometry as a predictor factor in the evolution of otitis media with effusion". J Med Life. 5 (4): 452–4. PMC 3539835. PMID 23346249.