Aspiration pneumonia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with aspiration pneumonia is usually remarkable for: [[fever]], [[tachypnea]], [[hypotension]], [[Rales|crackles]], decreased [[breath sounds]], and increased [[tactile fremitus]]. | *Physical examination of patients with aspiration pneumonia is usually remarkable for: [[fever]], [[tachypnea]], [[hypotension]], [[Rales|crackles]], decreased [[breath sounds]], and increased [[tactile fremitus]].<ref name="Marik2001">{{cite journal|last1=Marik|first1=Paul E.|title=Aspiration Pneumonitis and Aspiration Pneumonia|journal=New England Journal of Medicine|volume=344|issue=9|year=2001|pages=665–671|issn=0028-4793|doi=10.1056/NEJM200103013440908}}</ref><ref name="DiBardinoWunderink2015">{{cite journal|last1=DiBardino|first1=David M.|last2=Wunderink|first2=Richard G.|title=Aspiration pneumonia: A review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|year=2015|pages=40–48|issn=08839441|doi=10.1016/j.jcrc.2014.07.011}}</ref><ref name="WeiCheng2013">{{cite journal|last1=Wei|first1=Chaojie|last2=Cheng|first2=Zhenshun|last3=Zhang|first3=Li|last4=Yang|first4=Jiong|title=Microbiology and prognostic factors of hospital- and community-acquired aspiration pneumonia in respiratory intensive care unit|journal=American Journal of Infection Control|volume=41|issue=10|year=2013|pages=880–884|issn=01966553|doi=10.1016/j.ajic.2013.01.007}}</ref><ref name="LukChen2014">{{cite journal|last1=Luk|first1=James KH|last2=Chen|first2=Daniel KY|title=Preventing aspiration pneumonia in older people: do we have the 'know-how'?|journal=Hong Kong Medical Journal|year=2014|issn=10242708|doi=10.12809/hkmj144251}}</ref><ref name="TaylorFleming2013">{{cite journal|last1=Taylor|first1=Joanne K.|last2=Fleming|first2=Gillian B.|last3=Singanayagam|first3=Aran|last4=Hill|first4=Adam T.|last5=Chalmers|first5=James D.|title=Risk Factors for Aspiration in Community-acquired Pneumonia: Analysis of a Hospitalized UK Cohort|journal=The American Journal of Medicine|volume=126|issue=11|year=2013|pages=995–1001|issn=00029343|doi=10.1016/j.amjmed.2013.07.012}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with aspiration pneumonia is usually normal. | * Extremities examination of patients with aspiration pneumonia is usually normal. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 19:58, 29 March 2018
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Aspiration pneumonia physical examination On the Web | |
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Risk calculators and risk factors for Aspiration pneumonia physical examination | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Patients with aspiration might appear normal or toxic. Physical examination of patients with aspiration pneumonia is usually remarkable for: fever, tachypnea, hypotension, crackles, decreased breath sounds, and increased tactile fremitus.
Physical Examination
- Physical examination of patients with aspiration pneumonia is usually remarkable for: fever, tachypnea, hypotension, crackles, decreased breath sounds, and increased tactile fremitus.[1][2][3][4][5]
Appearance of the Patient
- Patients with aspiration might appear normal or toxic.
Vital Signs
Skin
- Skin examination of patients with aspiration pneumonia is usually normal.
HEENT
- HEENT examination of patients with aspiration pneumonia is usually normal.
Neck
- Neck examination of patients with aspiration pneumonia is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases unilaterally
- Rhonchi
- Increased tactile fremitus
- Decreased breath sounds
- Bronchial breath sounds
- Dullness on percussion
Heart
- Cardiovascular examination of patients with aspiration pneumonia is usually normal.
Abdomen
Abdominal examination of patients with aspiration pneumonia is usually normal.
Back
- Back examination of patients with aspiration pneumonia is usually normal.
Genitourinary
- Genitourinary examination of patients with aspiration pneumonia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with aspiration pneumonia is usually normal.
Extremities
- Extremities examination of patients with aspiration pneumonia is usually normal.
References
- ↑ Marik, Paul E. (2001). "Aspiration Pneumonitis and Aspiration Pneumonia". New England Journal of Medicine. 344 (9): 665–671. doi:10.1056/NEJM200103013440908. ISSN 0028-4793.
- ↑ DiBardino, David M.; Wunderink, Richard G. (2015). "Aspiration pneumonia: A review of modern trends". Journal of Critical Care. 30 (1): 40–48. doi:10.1016/j.jcrc.2014.07.011. ISSN 0883-9441.
- ↑ Wei, Chaojie; Cheng, Zhenshun; Zhang, Li; Yang, Jiong (2013). "Microbiology and prognostic factors of hospital- and community-acquired aspiration pneumonia in respiratory intensive care unit". American Journal of Infection Control. 41 (10): 880–884. doi:10.1016/j.ajic.2013.01.007. ISSN 0196-6553.
- ↑ Luk, James KH; Chen, Daniel KY (2014). "Preventing aspiration pneumonia in older people: do we have the 'know-how'?". Hong Kong Medical Journal. doi:10.12809/hkmj144251. ISSN 1024-2708.
- ↑ Taylor, Joanne K.; Fleming, Gillian B.; Singanayagam, Aran; Hill, Adam T.; Chalmers, James D. (2013). "Risk Factors for Aspiration in Community-acquired Pneumonia: Analysis of a Hospitalized UK Cohort". The American Journal of Medicine. 126 (11): 995–1001. doi:10.1016/j.amjmed.2013.07.012. ISSN 0002-9343.