Bronchiectasis physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
m Bot: Removing from Primary care |
||
| (24 intermediate revisions by 5 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Bronchiectasis}} | {{Bronchiectasis}} | ||
{{CMG}}; {{AE}} {{HQ}}, Saarah T. Alkhairy, M.D. | |||
==Overview== | ==Overview== | ||
The most common signs of bronchiectasis are coarse [[crackles]], [[rhonchi]], and [[Wheeze|wheezes]] on [[auscultation]]. | |||
==Bronchiectasis Physical Examination== | ==Bronchiectasis Physical Examination== | ||
* | The physical exam findings for bronchiectasis are as follows:<ref name="O'Donnell2008">{{cite journal|last1=O'Donnell|first1=Anne E.|title=Bronchiectasis|journal=Chest|volume=134|issue=4|year=2008|pages=815–823|issn=00123692|doi=10.1378/chest.08-0776}}</ref> | ||
* | |||
*Wheeze | ===General appearance=== | ||
*[[Lethargy]] | |||
* [[Weight loss]] | |||
*Progressive functional loss | |||
*[[Wasting]] | |||
*[[Syncope]] with activity | |||
*[[Child|Children]] may not grow at a normal rate | |||
===Vital Signs=== | |||
Vital signs are generally within normal limit, but patients with severe [[disease]] (massive [[hemoptysis]] or [[sepsis]]) may have the following vital signs: | |||
*Decreased [[Oxygen saturation|SPO2]] | |||
*[[Fever]] | |||
*[[Tachycardia]] | |||
*[[Tachypnea]] | |||
*[[Hypotension]] | |||
===Chest=== | |||
* Course [[crackles]] | |||
** These can be heard in early [[inspiration]] and often in the lower [[lung]] zones | |||
*[[Rhonchi]] | |||
*[[Wheeze]] | |||
*[[Lung volumes|Inspiratory]] squeaks | |||
===Heart=== | |||
*[[Right ventricular hypertrophy]] (RVH) | |||
*Heart [[murmurs]] | |||
===Abdomen=== | |||
*[[Ascites]] | |||
*[[Hepatomegaly]] | |||
===Skin=== | |||
*[[Cyanosis]] | |||
===ENT=== | |||
*[[Nasal polyps]] | |||
*[[Halitosis|Breath odor]] | |||
*Increased [[jugular venous pressure]] | |||
*Prominent [[neck]] and facial [[Vein|veins]] | |||
===Extremeties=== | |||
*Digital [[clubbing]] | |||
*[[Pedal edema]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
| |||
| |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Pulmonology]] | |||
[[Category:Medicine]] | |||
[[Category:Radiology]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 20:43, 29 July 2020
|
Bronchiectasis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bronchiectasis physical examination On the Web |
|
American Roentgen Ray Society Images of Bronchiectasis physical examination |
|
Risk calculators and risk factors for Bronchiectasis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Saarah T. Alkhairy, M.D.
Overview
The most common signs of bronchiectasis are coarse crackles, rhonchi, and wheezes on auscultation.
Bronchiectasis Physical Examination
The physical exam findings for bronchiectasis are as follows:[1]
General appearance
- Lethargy
- Weight loss
- Progressive functional loss
- Wasting
- Syncope with activity
- Children may not grow at a normal rate
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease (massive hemoptysis or sepsis) may have the following vital signs:
- Decreased SPO2
- Fever
- Tachycardia
- Tachypnea
- Hypotension
Chest
- Course crackles
- These can be heard in early inspiration and often in the lower lung zones
- Rhonchi
- Wheeze
- Inspiratory squeaks
Heart
- Right ventricular hypertrophy (RVH)
- Heart murmurs
Abdomen
Skin
ENT
- Breath odor
- Increased jugular venous pressure
- Prominent neck and facial veins
Extremeties
- Digital clubbing
- Pedal edema
References
- ↑ O'Donnell, Anne E. (2008). "Bronchiectasis". Chest. 134 (4): 815–823. doi:10.1378/chest.08-0776. ISSN 0012-3692.
Template:WH Template:WS