Acute viral nasopharyngitis physical examination: Difference between revisions
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{{CMG}};{{AE}}{{AY}} | {{CMG}};{{AE}}{{AY}} | ||
==Overview== | ==Overview== | ||
Patients with acute viral nasopharyngitis usually appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for runny nose, hyperemic nasal mucosa and mild cervical lymphadenopathy. | Patients with acute viral nasopharyngitis usually appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for [[runny nose]], hyperemic nasal mucosa and mild [[Lymphadenopathy|cervical lymphadenopathy]]. | ||
==Physical examination== | ==Physical examination== | ||
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> | 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=== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
====Temperature==== | ====Temperature==== | ||
*Fever is not usually present. Fever usually points more toward influenza not acute viral nasopharyngitis. | *[[Fever]] is not usually present. [[Fever]] usually points more toward [[influenza]] not acute viral nasopharyngitis. | ||
====Blood Pressure==== | ====Blood Pressure==== | ||
* The blood pressure is usually maintained within normal limits. | * The blood pressure is usually maintained within normal limits. | ||
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*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 ensues. | *[[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.<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> | *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.<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> | *[[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. | ||
Revision as of 14:34, 26 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
Patients with acute viral nasopharyngitis usually appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for runny nose, hyperemic nasal mucosa and mild cervical lymphadenopathy.
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.