Lung abscess physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with acute lung abscess may present with fever, cough with purulent sputum, Gag reflex may be absent in patients with an underlying neurologic disorder such as stroke. Digital clubbing is present in patients with a chronic abscess. On examination of the chest, there will be features of consolidation. Abscess typically localizes in the upper lobes or apical segments of the lower lobes. | Patients with acute lung abscess may present with [[Fever|fever,]] [[cough]] with [[purulent]] [[sputum]], [[Gag reflex]] may be absent in patients with an underlying [[Neurological disorder|neurologic disorder]] such as [[stroke]]. [[Digital clubbing]] is present in patients with a chronic abscess. On examination of the chest, there will be features of [[Consolidation (medicine)|consolidation]]. Abscess typically localizes in the upper lobes or apical segments of the lower lobes. | ||
==Physical Examination== | ==Physical Examination== | ||
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===Oral Cavity=== | ===Oral Cavity=== | ||
Dental decay is common, especially in alcoholics and children. | [[Dental caries|Dental decay]] is common, especially in [[Alcoholic|alcoholics]] and children. | ||
===Neurological examination=== | ===Neurological examination=== | ||
Gag reflex may be absent in patients with an underlying neurological disorder such as stroke. | [[Gag reflex]] may be absent in patients with an underlying [[Neurological disorders|neurological disorder]] such as [[stroke]]. | ||
===Lungs=== | ===Lungs=== | ||
On examination of the chest, there will be features of consolidation <ref name="urldx.doi.org.ezp-prod1.hul.harvard.edu">{{cite web |url=http://dx.doi.org.ezp-prod1.hul.harvard.edu/10.1016/j.prrv.2006.10.002 |title=dx.doi.org.ezp-prod1.hul.harvard.edu |format= |work= |accessdate=}}</ref> | On examination of the chest, there will be features of [[Consolidation (medicine)|consolidation]] <ref name="urldx.doi.org.ezp-prod1.hul.harvard.edu">{{cite web |url=http://dx.doi.org.ezp-prod1.hul.harvard.edu/10.1016/j.prrv.2006.10.002 |title=dx.doi.org.ezp-prod1.hul.harvard.edu |format= |work= |accessdate=}}</ref> | ||
*Dullness to percussion | *Dullness to [[Percussion of the lungs|percussion]] | ||
*Decreased breath sounds on the side of lung abscess | *Decreased [[breath sounds]] on the side of lung abscess | ||
*Bronchial breath sounds on auscultation | *Bronchial [[breath sounds]] on [[auscultation]] | ||
*Inspiratory crackles | *[[Crackles|Inspiratory crackles]] | ||
*Localised crepitations | *[[Crepitations|Localised crepitations]] | ||
=== Extremities === | |||
===Extremities=== | |||
Finger [[clubbing]] is present in one third of patients. | Finger [[clubbing]] is present in one third of patients. | ||
Revision as of 22:35, 7 February 2017
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Lung abscess Microchapters |
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Lung abscess physical examination On the Web |
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Risk calculators and risk factors for Lung abscess physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with acute lung abscess may present with fever, cough with purulent sputum, Gag reflex may be absent in patients with an underlying neurologic disorder such as stroke. Digital clubbing is present in patients with a chronic abscess. On examination of the chest, there will be features of consolidation. Abscess typically localizes in the upper lobes or apical segments of the lower lobes.
Physical Examination
Appearance
Patients are generally cachectic at presentation.
Oral Cavity
Dental decay is common, especially in alcoholics and children.
Neurological examination
Gag reflex may be absent in patients with an underlying neurological disorder such as stroke.
Lungs
On examination of the chest, there will be features of consolidation [1]
- Dullness to percussion
- Decreased breath sounds on the side of lung abscess
- Bronchial breath sounds on auscultation
- Inspiratory crackles
- Localised crepitations
Extremities
Finger clubbing is present in one third of patients.