Acute viral nasopharyngitis physical examination: Difference between revisions
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==Physical examination== | ==Physical examination== | ||
Common cold is defined as inflammation of the nose with various degrees of pharynx inflammation. | Common cold is defined as inflammation of the nose with various degrees of pharynx inflammation.<ref name="pmid12517470">{{cite journal |vauthors=Heikkinen T, Järvinen A |title=The common cold |journal=Lancet |volume=361 |issue=9351 |pages=51–9 |year=2003 |pmid=12517470 |doi=10.1016/S0140-6736(03)12162-9 |url=}}</ref> | ||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
| Line 21: | Line 21: | ||
*Conjunctivae may be congested with tearing of both eyes. | *Conjunctivae may be congested with tearing of both eyes. | ||
===Head=== | ===Head=== | ||
*[[Tenderness]] of sinuses may be elicited if sinusitis | *[[Tenderness]] of sinuses may be elicited if sinusitis ensues. | ||
*Cervical lymph nodes may be enlarged without tenderness. | *Cervical lymph nodes may be enlarged without tenderness. | ||
===Nose=== | ===Nose=== | ||
*Nasal mucosa is usually red and hyperemic. | *Nasal mucosa is usually red and hyperemic. | ||
*Discharge can have various colors from yellow to green. However, it has no indication of the causative organism. | *Discharge can have various colors from yellow to green. However, it has no indication of the causative organism.<ref name="pmid12517470">{{cite journal |vauthors=Heikkinen T, Järvinen A |title=The common cold |journal=Lancet |volume=361 |issue=9351 |pages=51–9 |year=2003 |pmid=12517470 |doi=10.1016/S0140-6736(03)12162-9 |url=}}</ref> | ||
===Throat=== | ===Throat=== | ||
*Pharynx usually is normal on inspection. However, it may get inflamed with the spread of infection. | *Pharynx usually is normal on inspection. However, it may get inflamed with the spread of infection.<ref name="pmid16253889">{{cite journal |vauthors=Eccles R |title=Understanding the symptoms of the common cold and influenza |journal=Lancet Infect Dis |volume=5 |issue=11 |pages=718–25 |year=2005 |pmid=16253889 |doi=10.1016/S1473-3099(05)70270-X |url=}}</ref> | ||
===Lungs=== | ===Lungs=== | ||
*Lungs are typically clear to auscultation. | *Lungs are typically clear to auscultation. | ||
*[[Crackles]] and [[rhonchi]] may be found if lower respiratory tract infection and pneumonia ensue. | *[[Crackles]] and [[rhonchi]] may be found if lower respiratory tract infection and pneumonia ensue. | ||
==References== | ==References== | ||
Revision as of 13:07, 25 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Physical examination
Common cold is defined as inflammation of the nose with various degrees of pharynx inflammation.[1]
Appearance of the patient
Patient usually appears ill.
Vital Signs
Temperature
- Fever is not usually present. Fever usually points more toward influenza not acute viral nasopharyngitis.
Blood Pressure
- The blood pressure is usually maintained within normal limits.
Pulse
- May be normal or increased in rate due to infection.
Respiration
- Tachypnea may be present.
Eyes
- Conjunctivae may be congested with tearing of both eyes.
Head
- Tenderness of sinuses may be elicited if sinusitis ensues.
- Cervical lymph nodes may be enlarged without tenderness.
Nose
- Nasal mucosa is usually red and hyperemic.
- Discharge can have various colors from yellow to green. However, it has no indication of the causative organism.[1]
Throat
- Pharynx usually is normal on inspection. However, it may get inflamed with the spread of infection.[2]
Lungs
- Lungs are typically clear to auscultation.
- Crackles and rhonchi may be found if lower respiratory tract infection and pneumonia ensue.
References
- ↑ 1.0 1.1 Heikkinen T, Järvinen A (2003). "The common cold". Lancet. 361 (9351): 51–9. doi:10.1016/S0140-6736(03)12162-9. PMID 12517470.
- ↑ Eccles R (2005). "Understanding the symptoms of the common cold and influenza". Lancet Infect Dis. 5 (11): 718–25. doi:10.1016/S1473-3099(05)70270-X. PMID 16253889.