Adult bronchiolitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, [[tachypnea]], [[Wheeze|wheezing]] and sometimes, a low grade [[fever]]. | |||
==Physical Examination== | |||
Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, [[tachypnea]], [[Wheeze|wheezing]] and sometimes, a low grade [[fever]].<ref name="pmid19129282">{{cite journal |vauthors=Devouassoux G, Cottin V, Lioté H, Marchand E, Frachon I, Schuller A, Béjui-Thivolet F, Cordier JF |title=Characterisation of severe obliterative bronchiolitis in rheumatoid arthritis |journal=Eur. Respir. J. |volume=33 |issue=5 |pages=1053–61 |date=May 2009 |pmid=19129282 |doi=10.1183/09031936.00091608 |url=}}</ref><ref name="pmid24806161">{{cite journal |vauthors=Barker AF, Bergeron A, Rom WN, Hertz MI |title=Obliterative bronchiolitis |journal=N. Engl. J. Med. |volume=370 |issue=19 |pages=1820–8 |date=May 2014 |pmid=24806161 |doi=10.1056/NEJMra1204664 |url=}}</ref> | |||
===Appearance of the Patient=== | |||
*Lethargic and faitgue | |||
== | ===Vital Signs=== | ||
* | *Low-grade [[fever]] | ||
*[[Tachypnea]] | |||
*[[Shallow breathing]] | |||
* | |||
*[ | |||
=== | ===Skin=== | ||
*[[Cyanosis]] | |||
*Evidence of mineral dust or other material staining the skin | |||
* | |||
=== | ===HEENT=== | ||
*Usually normal HEENT examination | |||
*[ | *Facial tenderness if experiencing [[Rhinosinusitis|sinusitis]] | ||
===Lungs=== | |||
*Fine [[crackles]] upon auscultation of the lung bases unilaterally or bilaterally | |||
*[[Rhonchi]] | |||
*Bronchial breathing | |||
*Expiratory wheezing with delayed expiratory phase | |||
*[[Wheezing]] may be present | |||
*Fine [[rales]] | |||
*May use [[Accessory muscles of respiration|accessory muscles]] to breathe | |||
===Extremities=== | |||
*[[Clubbing]] | |||
*[[Cyanosis]] | |||
==References== | ==References== | ||
Latest revision as of 13:30, 5 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, tachypnea, wheezing and sometimes, a low grade fever.
Physical Examination
Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, tachypnea, wheezing and sometimes, a low grade fever.[1][2]
Appearance of the Patient
- Lethargic and faitgue
Vital Signs
- Low-grade fever
- Tachypnea
- Shallow breathing
Skin
- Cyanosis
- Evidence of mineral dust or other material staining the skin
HEENT
- Usually normal HEENT examination
- Facial tenderness if experiencing sinusitis
Lungs
- Fine crackles upon auscultation of the lung bases unilaterally or bilaterally
- Rhonchi
- Bronchial breathing
- Expiratory wheezing with delayed expiratory phase
- Wheezing may be present
- Fine rales
- May use accessory muscles to breathe
Extremities
References
- ↑ Devouassoux G, Cottin V, Lioté H, Marchand E, Frachon I, Schuller A, Béjui-Thivolet F, Cordier JF (May 2009). "Characterisation of severe obliterative bronchiolitis in rheumatoid arthritis". Eur. Respir. J. 33 (5): 1053–61. doi:10.1183/09031936.00091608. PMID 19129282.
- ↑ Barker AF, Bergeron A, Rom WN, Hertz MI (May 2014). "Obliterative bronchiolitis". N. Engl. J. Med. 370 (19): 1820–8. doi:10.1056/NEJMra1204664. PMID 24806161.