Bronchiectasis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The most common signs of patients with bronchiectasis are coarse [[crackles]], [[rhonchi]], and wheezes on auscultation | Symptoms of bronchiectasis can take months or even years to develop. The most common signs of patients with bronchiectasis are coarse [[crackles]], [[rhonchi]], and wheezes on auscultation. | ||
==Bronchiectasis Physical Examination== | ==Bronchiectasis Physical Examination== | ||
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===General appearance=== | ===General appearance=== | ||
*Lethargic | *Lethargic | ||
* Weight loss | *Weight loss | ||
*Progressive functional loss | *Progressive functional loss | ||
*Wasting | |||
*Syncope with activity | |||
*Children may not grow at a normal rate | |||
===Vital Signs=== | ===Vital Signs=== | ||
Vital signs are generally within normal limit, but patients with severe disease (massive [[hemoptysis]] or [[sepsis]]) may have the following vital signs: | Vital signs are generally within normal limit, but patients with severe disease (massive [[hemoptysis]] or [[sepsis]]) may have the following vital signs: | ||
*[[Fever]] | *[[Fever]] | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
*[[Hypotension]] | |||
===Chest=== | ===Chest=== | ||
* Course [[crackles]] | * 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=== | |||
*[[Ascites]] | |||
*[[Hepatomegally]] | |||
===Skin=== | |||
*[[Cyanosis]] | |||
===ENT=== | |||
*[[Nasal polyps]] | |||
*[[ | *Breath odor | ||
*Increased [[jugular venous pressure]] | |||
* | *Prominent neck and facial veins | ||
===Extremeties=== | ===Extremeties=== | ||
*Digital [[clubbing]] | *Digital [[clubbing]] | ||
*[[Pedal edema]] | |||
==References== | ==References== |
Revision as of 13:30, 1 July 2015
Bronchiectasis Microchapters |
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Bronchiectasis physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.
Overview
Symptoms of bronchiectasis can take months or even years to develop. The most common signs of patients with bronchiectasis are coarse crackles, rhonchi, and wheezes on auscultation.
Bronchiectasis Physical Examination
General appearance
- Lethargic
- 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:
Chest
- Course crackles
- These can be heard in early inspiration and often in the lower lung zones
Heart
- Heart Murmurs
Abdomen
Skin
ENT
- Breath odor
- Increased jugular venous pressure
- Prominent neck and facial veins
Extremeties
- Digital clubbing
- Pedal edema
References