Respiratory acidosis physical examination: Difference between revisions
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== Physcial Examination == | == Physcial Examination == | ||
* Physical examination of patients with respiratory acidosis is usually non specific.<ref name="pmid28007319">{{cite journal |vauthors=Zorrilla-Riveiro JG, Arnau-Bartés A, Rafat-Sellarés R, García-Pérez D, Mas-Serra A, Fernández-Fernández R |title=Nasal flaring as a clinical sign of respiratory acidosis in patients with dyspnea |journal=Am J Emerg Med |volume=35 |issue=4 |pages=548–553 |date=April 2017 |pmid=28007319 |doi=10.1016/j.ajem.2016.12.008 |url=}}</ref><ref name="pmid199548612">{{cite journal |vauthors=Mas A, Zorrilla JG, García D, Rafat R, Escribano J, Saura P |title=[Utility of the detection of nasal flaring in the assessment of severity of dyspnea] |language=Spanish; Castilian |journal=Med Intensiva |volume=34 |issue=3 |pages=182–7 |date=April 2010 |pmid=19954861 |doi=10.1016/j.medin.2009.09.008 |url=}}</ref><ref name="pmid8045145">{{cite journal |vauthors=Soo Hoo GW, Santiago S, Williams AJ |title=Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure |journal=Crit. Care Med. |volume=22 |issue=8 |pages=1253–61 |date=August 1994 |pmid=8045145 |doi= |url=}}</ref><ref name="pmid11262556">{{cite journal |vauthors=Epstein SK, Singh N |title=Respiratory acidosis |journal=Respir Care |volume=46 |issue=4 |pages=366–83 |date=April 2001 |pmid=11262556 |doi= |url=}}</ref> | * Physical examination of patients with respiratory acidosis is usually non specific.<ref name="pmid28007319">{{cite journal |vauthors=Zorrilla-Riveiro JG, Arnau-Bartés A, Rafat-Sellarés R, García-Pérez D, Mas-Serra A, Fernández-Fernández R |title=Nasal flaring as a clinical sign of respiratory acidosis in patients with dyspnea |journal=Am J Emerg Med |volume=35 |issue=4 |pages=548–553 |date=April 2017 |pmid=28007319 |doi=10.1016/j.ajem.2016.12.008 |url=}}</ref><ref name="pmid199548612">{{cite journal |vauthors=Mas A, Zorrilla JG, García D, Rafat R, Escribano J, Saura P |title=[Utility of the detection of nasal flaring in the assessment of severity of dyspnea] |language=Spanish; Castilian |journal=Med Intensiva |volume=34 |issue=3 |pages=182–7 |date=April 2010 |pmid=19954861 |doi=10.1016/j.medin.2009.09.008 |url=}}</ref><ref name="pmid8045145">{{cite journal |vauthors=Soo Hoo GW, Santiago S, Williams AJ |title=Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure |journal=Crit. Care Med. |volume=22 |issue=8 |pages=1253–61 |date=August 1994 |pmid=8045145 |doi= |url=}}</ref><ref name="pmid11262556">{{cite journal |vauthors=Epstein SK, Singh N |title=Respiratory acidosis |journal=Respir Care |volume=46 |issue=4 |pages=366–83 |date=April 2001 |pmid=11262556 |doi= |url=}}</ref><ref name="pmid22500110">{{cite journal |vauthors=Bruno CM, Valenti M |title=Acid-base disorders in patients with chronic obstructive pulmonary disease: a pathophysiological review |journal=J. Biomed. Biotechnol. |volume=2012 |issue= |pages=915150 |date= 2012 |pmid=22500110 |pmc=3303884 |doi=10.1155/2012/915150 |url=}}</ref> | ||
'''Lungs''' | '''Lungs''' | ||
* In COPD patients physcial exmanination of chest shows | * In COPD patients physcial exmanination of chest shows | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
The medical manifestations of respiratory acidosis are regularly the ones of the underlying disorder.Physical exmination may vary, relying at the severity of the disorder and on the rate of development of hypercapnia. mild to moderate hypercapnia that develops slowly generally has minimum symptoms.
Physcial Examination
Lungs
- In COPD patients physcial exmanination of chest shows
- Diffuse wheezing
- Barrel chest
- Decreased breath sounds
- Hyperresonanc
- Prolonged expiration
- Rhonchi
Appearance of the Patient
- Patients with respiratory acidosis usually appear Anxious
Skin
- Cyanosis
- Digital clubbing
Neuromuscular
- Seizures.
- Asterixis.
- Myoclonus.
HEENT
- Papilledema.
- Conjunctival and superficial facial dilation of blood vessels.
- Nasal flaring is a sign of respiratory acidosis.[6][7]
References
- ↑ Zorrilla-Riveiro JG, Arnau-Bartés A, Rafat-Sellarés R, García-Pérez D, Mas-Serra A, Fernández-Fernández R (April 2017). "Nasal flaring as a clinical sign of respiratory acidosis in patients with dyspnea". Am J Emerg Med. 35 (4): 548–553. doi:10.1016/j.ajem.2016.12.008. PMID 28007319.
- ↑ Mas A, Zorrilla JG, García D, Rafat R, Escribano J, Saura P (April 2010). "[Utility of the detection of nasal flaring in the assessment of severity of dyspnea]". Med Intensiva (in Spanish; Castilian). 34 (3): 182–7. doi:10.1016/j.medin.2009.09.008. PMID 19954861.
- ↑ Soo Hoo GW, Santiago S, Williams AJ (August 1994). "Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure". Crit. Care Med. 22 (8): 1253–61. PMID 8045145.
- ↑ Epstein SK, Singh N (April 2001). "Respiratory acidosis". Respir Care. 46 (4): 366–83. PMID 11262556.
- ↑ Bruno CM, Valenti M (2012). "Acid-base disorders in patients with chronic obstructive pulmonary disease: a pathophysiological review". J. Biomed. Biotechnol. 2012: 915150. doi:10.1155/2012/915150. PMC 3303884. PMID 22500110.
- ↑ Zorrilla Riveiro JG, Arnau Bartés A, García Pérez D, Rafat Sellarés R, Mas Serra A, Fernández Fernández R (0 2015). "[Nasal flaring as a predictor of mortality in patients with severe dyspnea]". Emergencias (in Spanish; Castilian). 27 (1): 27–33. PMID 29077330. Check date values in:
|date=(help) - ↑ Mas A, Zorrilla JG, García D, Rafat R, Escribano J, Saura P (April 2010). "[Utility of the detection of nasal flaring in the assessment of severity of dyspnea]". Med Intensiva (in Spanish; Castilian). 34 (3): 182–7. doi:10.1016/j.medin.2009.09.008. PMID 19954861.