Influenza physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The physical examination in a patient with influenza depends on several factors, such as age, comorbidities and immune response. Physical findings could vary among patient, from a mild disease with few signs and symptoms, to severely ill patients with respiratory insufficiency. <ref name="LesslerReich2009">{{cite journal|last1=Lessler|first1=Justin|last2=Reich|first2=Nicholas G.|last3=Cummings|first3=Derek A.T.|title=Outbreak of 2009 Pandemic Influenza A (H1N1) at a New York City School|journal=New England Journal of Medicine|volume=361|issue=27|year=2009|pages=2628–2636|issn=0028-4793|doi=10.1056/NEJMoa0906089}}</ref> | The physical examination in a patient with influenza depends on several factors, such as age, comorbidities and immune response. Physical findings could vary among patient, from a mild disease with few signs and symptoms, to severely ill patients with respiratory insufficiency.<ref name="LesslerReich2009">{{cite journal|last1=Lessler|first1=Justin|last2=Reich|first2=Nicholas G.|last3=Cummings|first3=Derek A.T.|title=Outbreak of 2009 Pandemic Influenza A (H1N1) at a New York City School|journal=New England Journal of Medicine|volume=361|issue=27|year=2009|pages=2628–2636|issn=0028-4793|doi=10.1056/NEJMoa0906089}}</ref><ref>{{cite web| url=http://www.cdc.gov/flu/professionals/acip/clinical.htm| title=CDC Clinical Signs and Symptoms of Influenza}} </ref> | ||
===Appearance=== | ===Appearance=== | ||
Revision as of 20:20, 24 October 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
During the physical examination in a patient with influenza, findings can include fever, tachycardia, tachypnea, sore throat, and fatigue. Complications can worsen the patient's condition and findings in the lung examination may include dry cough, rales and focal wheezing.
Physical Examination
The physical examination in a patient with influenza depends on several factors, such as age, comorbidities and immune response. Physical findings could vary among patient, from a mild disease with few signs and symptoms, to severely ill patients with respiratory insufficiency.[1][2]
Appearance
- Fatigue
Vitals
- Fever (100-104° F)
- Tachycardia
- Tachypnea
Skin
- Flushing may be present
- Rash may be present
- Increased sweating
Eyes
- Watery eyes
- Redness
Nose
- Nasal congestion
- Runny nose
Throat
- Erythema and inflammation may be present
- Pharyngitis
Lungs
- Usually lung examination is normal
- Findings of severe disease include
- Dry cough
- Rales
- Focal wheezing
References
- ↑ Lessler, Justin; Reich, Nicholas G.; Cummings, Derek A.T. (2009). "Outbreak of 2009 Pandemic Influenza A (H1N1) at a New York City School". New England Journal of Medicine. 361 (27): 2628–2636. doi:10.1056/NEJMoa0906089. ISSN 0028-4793.
- ↑ "CDC Clinical Signs and Symptoms of Influenza".