Bronchiolitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General appearance=== | |||
*Ill or toxic appearance | |||
*[[Cyanosis]] | |||
===Vitals=== | ===Vitals=== | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
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*[[Wheezing]] | *[[Wheezing]] | ||
*[[Rales]] (crakles) | *[[Rales]] (crakles) | ||
*Decreasing [[respiratory sounds]] may indicate a progresion in the airway obstruction which may progress 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> | |||
*Sound changes during examaninations is characteristic of bronchiolitis. | |||
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> | |||
==References== | ==References== | ||
Revision as of 16:09, 28 May 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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 don't exclude the diagnosis.
Lung
Inspection
- Chest retractions:
- Intercostal retractions
- Substernal retractions
- Nasal flaring in infants
Auscultation
- Wheezing
- Rales (crakles)
- Decreasing respiratory sounds may indicate a progresion in the airway obstruction which may progress to respiratory failure.[1]
- Sound changes during examaninations is characteristic of bronchiolitis.
The association between cyanosis and rales has been shown as a predictor of severity.[2]
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.