Bronchiolitis physical examination: Difference between revisions
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*Decreasing [[respiratory sounds]] may indicate a progression in the airway obstruction which may evolve to [[respiratory failure]].<ref name="pmid14757603">{{cite journal| author=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L et al.| title=Diagnosis and testing in bronchiolitis: a systematic review. | journal=Arch Pediatr Adolesc Med | year= 2004 | volume= 158 | issue= 2 | pages= 119-26 | pmid=14757603 | doi=10.1001/archpedi.158.2.119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14757603 }} </ref> | *Decreasing [[respiratory sounds]] may indicate a progression in the airway obstruction which may evolve to [[respiratory failure]].<ref name="pmid14757603">{{cite journal| author=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L et al.| title=Diagnosis and testing in bronchiolitis: a systematic review. | journal=Arch Pediatr Adolesc Med | year= 2004 | volume= 158 | issue= 2 | pages= 119-26 | pmid=14757603 | doi=10.1001/archpedi.158.2.119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14757603 }} </ref> | ||
The association between [[cyanosis]] and [[rales]] has been shown as a predictor of severity.<ref name="pmid1971330">{{cite journal| author=Mulholland EK, Olinsky A, Shann FA| title=Clinical findings and severity of acute bronchiolitis. | journal=Lancet | year= 1990 | volume= 335 | issue= 8700 | pages= 1259-61 | pmid=1971330 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1971330 }} </ref> | The association between [[cyanosis]] and [[rales]] has been shown as a predictor of severity.<ref name="pmid1971330">{{cite journal| author=Mulholland EK, Olinsky A, Shann FA| title=Clinical findings and severity of acute bronchiolitis. | journal=Lancet | year= 1990 | volume= 335 | issue= 8700 | pages= 1259-61 | pmid=1971330 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1971330 }} </ref><ref name="pmid16859512">{{cite journal| author=Eisenhut M| title=Extrapulmonary manifestations of severe respiratory syncytial virus infection--a systematic review. | journal=Crit Care | year= 2006 | volume= 10 | issue= 4 | pages= R107 | pmid=16859512 | doi=10.1186/cc4984 | pmc=1751022 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16859512 }} </ref> | ||
==References== | ==References== | ||
Revision as of 19:41, 20 June 2017
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Bronchiolitis Microchapters |
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Bronchiolitis physical examination On the Web |
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Risk calculators and risk factors for Bronchiolitis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]
Overview
Physical Examination
General appearance
- Ill or toxic appearance
- Cyanosis
Vitals
- Tachypnea
- Fever may or may not be present at the moment of the examination. The lack of fever doesn't exclude the diagnosis.
Lung
Rapid changes in respiratory signs are characteristic of bronchiolitis.
Inspection
- Chest retractions:
- Intercostal retractions
- Substernal retractions
- Nasal flaring in infants
Auscultation
- Wheezing
- Rales (crakles)
- Decreasing respiratory sounds may indicate a progression in the airway obstruction which may evolve to respiratory failure.[1]
The association between cyanosis and rales has been shown as a predictor of severity.[2][3]
References
- ↑ Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L; et al. (2004). "Diagnosis and testing in bronchiolitis: a systematic review". Arch Pediatr Adolesc Med. 158 (2): 119–26. doi:10.1001/archpedi.158.2.119. PMID 14757603.
- ↑ Mulholland EK, Olinsky A, Shann FA (1990). "Clinical findings and severity of acute bronchiolitis". Lancet. 335 (8700): 1259–61. PMID 1971330.
- ↑ Eisenhut M (2006). "Extrapulmonary manifestations of severe respiratory syncytial virus infection--a systematic review". Crit Care. 10 (4): R107. doi:10.1186/cc4984. PMC 1751022. PMID 16859512.