Lung abscess physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Lung abscess}} | {{Lung abscess}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{ADG}} | ||
==Overview== | ==Overview== | ||
Patients with acute lung abscess may present with [[Fever|fever,]] [[cough]] with [[purulent]] [[sputum]], [[gag reflex]] may be absent in patients with an underlying [[Neurological disorder|neurologic disorder]] such as [[stroke]]. [[Digital clubbing]] is present in patients with a chronic abscess. On examination of the chest, there will be features of [[Consolidation (medicine)|consolidation]]. Abscess typically localizes in the upper lobes or apical segments of the lower lobes. | |||
==Physical Examination== | ==Physical Examination== | ||
===Vitals=== | |||
[[Fever]] <br> | |||
[[Tachypnea]] | |||
===Appearance=== | ===Appearance=== | ||
Patients are generally [[cachexia|cachectic]] at presentation. | Patients are generally [[cachexia|cachectic]] at presentation. | ||
===Oral Cavity=== | ===Oral Cavity=== | ||
Dental decay is common especially in alcoholics and children. | [[Dental caries|Dental decay]] is common, especially in [[Alcoholic|alcoholics]] and children. | ||
===Neurological examination=== | |||
[[Gag reflex]] may be absent in patients with an underlying [[Neurological disorders|neurological disorder]] such as [[stroke]]. | |||
===Lungs=== | ===Lungs=== | ||
On examination of chest there will be features of consolidation | On examination of the chest, there will be features of [[Consolidation (medicine)|consolidation]] <ref>{{cite book | last = Kasper | first = Dennis | title = Harrison's principles of internal medicine | publisher = McGraw Hill Education | location = New York | year = 2015 | isbn = 978-0071802154 }}</ref> | ||
*Dullness to [[Percussion of the lungs|percussion]] | |||
*Decreased [[breath sounds]] on the side of lung abscess | |||
*Bronchial [[breath sounds]] on [[auscultation]] | |||
*[[Crackles|Inspiratory crackles]] | |||
*[[Crepitations|Localised crepitations]] | |||
===Extremities=== | === Extremities === | ||
Finger [[clubbing]] is present in one third of patients. | Finger [[clubbing]] is present in one third of patients. | ||
== Reference == | == Reference == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 22:34, 29 July 2020
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Lung abscess Microchapters |
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Lung abscess physical examination On the Web |
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Risk calculators and risk factors for Lung abscess physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with acute lung abscess may present with fever, cough with purulent sputum, gag reflex may be absent in patients with an underlying neurologic disorder such as stroke. Digital clubbing is present in patients with a chronic abscess. On examination of the chest, there will be features of consolidation. Abscess typically localizes in the upper lobes or apical segments of the lower lobes.
Physical Examination
Vitals
Appearance
Patients are generally cachectic at presentation.
Oral Cavity
Dental decay is common, especially in alcoholics and children.
Neurological examination
Gag reflex may be absent in patients with an underlying neurological disorder such as stroke.
Lungs
On examination of the chest, there will be features of consolidation [1]
- Dullness to percussion
- Decreased breath sounds on the side of lung abscess
- Bronchial breath sounds on auscultation
- Inspiratory crackles
- Localised crepitations
Extremities
Finger clubbing is present in one third of patients.
Reference
- ↑ Kasper, Dennis (2015). Harrison's principles of internal medicine. New York: McGraw Hill Education. ISBN 978-0071802154.