Croup physical examination: Difference between revisions
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{{Croup}} | {{Croup}} | ||
==Overview== | |||
==Physical Examination== | |||
===Appearance of the Patient=== | |||
*Croup patients are usually ill-appearing, similarly to [[common cold]] patients.<ref name="pmid20485713">{{cite journal |vauthors=Rajapaksa S, Starr M |title=Croup - assessment and management |journal=Aust Fam Physician |volume=39 |issue=5 |pages=280–2 |year=2010 |pmid=20485713 |doi= |url=}}</ref> | |||
*Croup patients can appear [[lethargy|lethargic]].<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref> | |||
===Lungs=== | |||
*Inspiratory [[stridor]] is characteristic of croup patients.<ref name="Cherry2008">{{cite journal|last1=Cherry|first1=James D.|title=Croup|journal=New England Journal of Medicine|volume=358|issue=4|year=2008|pages=384–391|issn=0028-4793|doi=10.1056/NEJMcp072022}}</ref> | |||
*Expiratory [[wheezing]] may be present in more severe croup cases.<ref name="Cherry2008">{{cite journal|last1=Cherry|first1=James D.|title=Croup|journal=New England Journal of Medicine|volume=358|issue=4|year=2008|pages=384–391|issn=0028-4793|doi=10.1056/NEJMcp072022}}</ref> | |||
*Suprasternal and [[intercostal]] [[indrawing]] may be present in croup cases.<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref> | |||
*[[Sternal]] wall retractions may be visibly marked in severe croup cases.<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref> | |||
*Desynchronized [[chest]] and [[abdominal]] wall expansion may be present is severe croup cases.<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref> | |||
===Vital Signs=== | |||
*Low-grade [[fever]] may be present in Croup patients.<ref name="pmid20485713">{{cite journal |vauthors=Rajapaksa S, Starr M |title=Croup - assessment and management |journal=Aust Fam Physician |volume=39 |issue=5 |pages=280–2 |year=2010 |pmid=20485713 |doi= |url=}}</ref> | |||
===Skin=== | |||
*[[Cyanosis]] may be present in more severe cases of croup.<ref name="Cherry2008">{{cite journal|last1=Cherry|first1=James D.|title=Croup|journal=New England Journal of Medicine|volume=358|issue=4|year=2008|pages=384–391|issn=0028-4793|doi=10.1056/NEJMcp072022}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Revision as of 17:23, 15 February 2016
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Overview
Physical Examination
Appearance of the Patient
- Croup patients are usually ill-appearing, similarly to common cold patients.[1]
- Croup patients can appear lethargic.[2]
Lungs
- Inspiratory stridor is characteristic of croup patients.[3]
- Expiratory wheezing may be present in more severe croup cases.[3]
- Suprasternal and intercostal indrawing may be present in croup cases.[2]
- Sternal wall retractions may be visibly marked in severe croup cases.[2]
- Desynchronized chest and abdominal wall expansion may be present is severe croup cases.[2]
Vital Signs
Skin
References
- ↑ 1.0 1.1 Rajapaksa S, Starr M (2010). "Croup - assessment and management". Aust Fam Physician. 39 (5): 280–2. PMID 20485713.
- ↑ 2.0 2.1 2.2 2.3 Johnson D (2009). "Croup". BMJ Clin Evid. 2009. PMC 2907784. PMID 19445760.
- ↑ 3.0 3.1 3.2 Cherry, James D. (2008). "Croup". New England Journal of Medicine. 358 (4): 384–391. doi:10.1056/NEJMcp072022. ISSN 0028-4793.