Acute chest syndrome physical examination: Difference between revisions
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* [[Rales]] and dullness to percussion are the most common findings on physical exam. | * [[Rales]] and dullness to percussion are the most common findings on physical exam. | ||
* 35% of patients have a normal auscultatory exam. | * 35% of patients have a normal auscultatory exam. | ||
* Patients can also have sternal tenderness. | * Patients can also have [[sternal tenderness]]. | ||
*:* ''There is little difference in physical findings between patients with Hb SS and Hb SC disease.'' | *:* ''There is little difference in physical findings between patients with Hb SS and Hb SC disease.'' | ||
===Neurologic=== | ===Neurologic=== | ||
*Mental confusion may suggest [[hyoxia]] or [[fat embolization]]. | *Mental confusion may suggest [[hyoxia]] or [[fat embolization]]. | ||
Revision as of 17:13, 21 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Vital Signs
Temperature
- Fevers up to 104 degrees Fahrenheit.
Respiration Rate
- Tachypnea may be present
Eyes
- Lipemia retinais can be seen in the patient with fat embolism
Heart
Lung
- Rales and dullness to percussion are the most common findings on physical exam.
- 35% of patients have a normal auscultatory exam.
- Patients can also have sternal tenderness.
- There is little difference in physical findings between patients with Hb SS and Hb SC disease.
Neurologic
- Mental confusion may suggest hyoxia or fat embolization.