Hemoptysis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
* Physical examination of patients with | *Physical examination of patients with hemoptysis might be normal. However, patients might show findings depend on underlying causes.<ref name="LeeKim2015">{{cite journal|last1=Lee|first1=Myoung Kyu|last2=Kim|first2=Sang-Ha|last3=Yong|first3=Suk Joong|last4=Shin|first4=Kye Chul|last5=Kim|first5=Hyun Sik|last6=Yu|first6=Tae-Sun|last7=Choi|first7=Eun Hee|last8=Lee|first8=Won-Yeon|title=Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization|journal=The Clinical Respiratory Journal|volume=9|issue=1|year=2015|pages=53–64|issn=17526981|doi=10.1111/crj.12104}}</ref><ref name="KhalilFedida2015">{{cite journal|last1=Khalil|first1=A.|last2=Fedida|first2=B.|last3=Parrot|first3=A.|last4=Haddad|first4=S.|last5=Fartoukh|first5=M.|last6=Carette|first6=M.-F.|title=Severe hemoptysis: From diagnosis to embolization|journal=Diagnostic and Interventional Imaging|volume=96|issue=7-8|year=2015|pages=775–788|issn=22115684|doi=10.1016/j.diii.2015.06.007}}</ref><ref name="BruzziRémy-Jardin2006">{{cite journal|last1=Bruzzi|first1=John F.|last2=Rémy-Jardin|first2=Martine|last3=Delhaye|first3=Damien|last4=Teisseire|first4=Antoine|last5=Khalil|first5=Chadi|last6=Rémy|first6=Jacques|title=Multi–Detector Row CT of Hemoptysis|journal=RadioGraphics|volume=26|issue=1|year=2006|pages=3–22|issn=0271-5333|doi=10.1148/rg.261045726}}</ref> | ||
*Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill. | |||
*Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes. | |||
* | |||
* | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with hemoptysis usually appear anxious. | ||
*Patients with massive hemoptysis usually appear critically ill. | |||
===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade fever | *Low-grade fever | ||
*[[Tachycardia]] with regular pulse | *[[Tachycardia]] with regular pulse | ||
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===Lungs=== | ===Lungs=== | ||
* Decreased chest expansion | *Decreased chest expansion | ||
* | *Coarse [[crackles]] upon auscultation of the lung bases unilaterally or bilaterally | ||
*Decreased breath sounds | *Decreased breath sounds | ||
*[[Wheezing]] may be present | *[[Wheezing]] may be present | ||
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===Back=== | ===Back=== | ||
* Back examination of patients with | * Back examination of patients with hemoptysis is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with hemoptysis is usually normal. | * Genitourinary examination of patients with hemoptysis is usually normal. | ||
Revision as of 21:54, 26 February 2018
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Risk calculators and risk factors for Hemoptysis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with hemoptysis might be normal. However, patients might show findings depend on underlying causes.[1][2][3]
- Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill.
- Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes.
Appearance of the Patient
- Patients with hemoptysis usually appear anxious.
- Patients with massive hemoptysis usually appear critically ill.
Vital Signs
- Low-grade fever
- Tachycardia with regular pulse
- Tachypnea
- Low blood pressure with normal pulse pressure
Skin
- Bruises
- Telangiectasia
- Palpable purpura
- Rash
HEENT
- Purulent bloody sputum
Neck
Lungs
- Decreased chest expansion
- Coarse crackles upon auscultation of the lung bases unilaterally or bilaterally
- Decreased breath sounds
- Wheezing may be present
Heart
Abdomen
Back
- Back examination of patients with hemoptysis is usually normal.
Genitourinary
- Genitourinary examination of patients with hemoptysis is usually normal.
Neuromuscular
- Neuromuscular examination of patients with hemoptysis is usually normal.
Extremities
- Peripheral edema
- Clubbing of the digits
- Joint effusions
- Periarticular warmth
References
- ↑ Lee, Myoung Kyu; Kim, Sang-Ha; Yong, Suk Joong; Shin, Kye Chul; Kim, Hyun Sik; Yu, Tae-Sun; Choi, Eun Hee; Lee, Won-Yeon (2015). "Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization". The Clinical Respiratory Journal. 9 (1): 53–64. doi:10.1111/crj.12104. ISSN 1752-6981.
- ↑ Khalil, A.; Fedida, B.; Parrot, A.; Haddad, S.; Fartoukh, M.; Carette, M.-F. (2015). "Severe hemoptysis: From diagnosis to embolization". Diagnostic and Interventional Imaging. 96 (7–8): 775–788. doi:10.1016/j.diii.2015.06.007. ISSN 2211-5684.
- ↑ Bruzzi, John F.; Rémy-Jardin, Martine; Delhaye, Damien; Teisseire, Antoine; Khalil, Chadi; Rémy, Jacques (2006). "Multi–Detector Row CT of Hemoptysis". RadioGraphics. 26 (1): 3–22. doi:10.1148/rg.261045726. ISSN 0271-5333.