Acute viral nasopharyngitis physical examination: Difference between revisions
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{{CMG}}; {{AE}}{{AY}} | {{CMG}}; {{AE}}{{AY}} | ||
==Overview== | ==Overview== | ||
Usually, patients with acute viral nasopharyngitis 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]] | Common cold is defined as nose [[inflammation]], along 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=== | ||
Patient usually appears ill. | Patient usually appears ill. | ||
===Vital | ===Vital signs=== | ||
====Temperature==== | ====Temperature==== | ||
*[[Fever]] is not | *[[Fever]] is not present, commonly. However, [[Fever]] points more toward [[influenza]] than acute viral nasopharyngitis. | ||
====Blood | ====Blood pressure==== | ||
* | * [[Blood pressure]] is usually remained within normal limits. | ||
====Pulse==== | ====Pulse rate==== | ||
* | * [[Pulse]] may be normal or increased in rate, due to [[infection]]. | ||
====Respiration==== | ====Respiration rate==== | ||
*[[Tachypnea]] may be present. | *[[Tachypnea]] may be present. | ||
===Eyes=== | ===Eyes=== | ||
*[[Conjunctiva|Conjunctivae]] may be congested with [[Tears|tearing]] of both eyes. | *[[Conjunctiva|Conjunctivae]] may be congested, with [[Tears|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 (medicine)|tenderness]]. | *[[Cervical lymph nodes]] may be enlarged without [[Tenderness (medicine)|tenderness]]. | ||
===Nose=== | ===Nose=== | ||
*[[Nasal mucosa]] is usually red and hyperemic. | *[[Nasal mucosa]] is usually red and hyperemic. | ||
*Discharge | *Discharge may be in 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 | *[[Pharynx]] usually is normal on inspection. However, it may get inflamed with the [[infection]] spread. <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== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 16:08, 30 July 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
Usually, patients with acute viral nasopharyngitis 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 nose inflammation, along with various degrees of pharynx inflammation.[1]
Appearance of the patient
Patient usually appears ill.
Vital signs
Temperature
- Fever is not present, commonly. However, Fever points more toward influenza than acute viral nasopharyngitis.
Blood pressure
- Blood pressure is usually remained within normal limits.
Pulse rate
Respiration rate
- 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 may be in 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 infection spread. [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.