Chronic bronchitis physical examination: Difference between revisions
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Physical examination are quite specific and sensitive for severe disease. The signs are usually difficult to detect in cases of mild to moderate diseases. | Physical examination are quite specific and sensitive for severe disease. The signs are usually difficult to detect in cases of mild to moderate diseases. | ||
===General physical examination=== | ===General physical examination=== | ||
* General appearance: Overweight | |||
* Cyanosis | * Cyanosis | ||
* Tachypnea | * Tachypnea | ||
| Line 16: | Line 17: | ||
* Prolonged expiration; wheezing | * Prolonged expiration; wheezing | ||
* Diffusely decreased breath sound | * Diffusely decreased breath sound | ||
* Additional sounds - coarse crackles with inspiration | * Additional sounds - coarse crackles with inspiration, coarse rhonchi | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 21:25, 2 March 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Chronic obstructive pulmonary disease can be diagnostically evaluated by physical examination through auscultation.
Physical Examination
Physical examination are quite specific and sensitive for severe disease. The signs are usually difficult to detect in cases of mild to moderate diseases.
General physical examination
- General appearance: Overweight
- Cyanosis
- Tachypnea
- Elevated jugular venous pulse (JVP)
- Peripheral edema can be observed.
Pulmonary system
Inspection
- Respiratory distress indicated by use of accessory respiratory muscles. Hoover sign presenting as paradoxical indrawing of lower intercostal spaces is evident (known as the Hoover sign)
Auscultation
- Prolonged expiration; wheezing
- Diffusely decreased breath sound
- Additional sounds - coarse crackles with inspiration, coarse rhonchi