Acute viral nasopharyngitis physical examination: Difference between revisions
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==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]]. | 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 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> | 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> | ||
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===Nose=== | ===Nose=== | ||
*[[Nasal mucosa]] is usually red and hyperemic. | *[[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.<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]] 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 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> | *[[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> | ||
Revision as of 13:11, 31 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.