Bronchiolitis physical examination: Difference between revisions
Jump to navigation
Jump to search
| Line 25: | Line 25: | ||
*[[Rales]] (crakles) | *[[Rales]] (crakles) | ||
*Decreasing [[respiratory sounds]] may indicate a progresion in the airway obstruction which may progress to [[respiratory failure]].<ref name="pmid14757603">{{cite journal| author=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L et al.| title=Diagnosis and testing in bronchiolitis: a systematic review. | journal=Arch Pediatr Adolesc Med | year= 2004 | volume= 158 | issue= 2 | pages= 119-26 | pmid=14757603 | doi=10.1001/archpedi.158.2.119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14757603 }} </ref> | *Decreasing [[respiratory sounds]] may indicate a progresion in the airway obstruction which may progress to [[respiratory failure]].<ref name="pmid14757603">{{cite journal| author=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L et al.| title=Diagnosis and testing in bronchiolitis: a systematic review. | journal=Arch Pediatr Adolesc Med | year= 2004 | volume= 158 | issue= 2 | pages= 119-26 | pmid=14757603 | doi=10.1001/archpedi.158.2.119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14757603 }} </ref> | ||
The association between cyanosis and rales has been shown as a predictor of severity.<ref name="pmid1971330">{{cite journal| author=Mulholland EK, Olinsky A, Shann FA| title=Clinical findings and severity of acute bronchiolitis. | journal=Lancet | year= 1990 | volume= 335 | issue= 8700 | pages= 1259-61 | pmid=1971330 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1971330 }} </ref> | The association between cyanosis and rales has been shown as a predictor of severity.<ref name="pmid1971330">{{cite journal| author=Mulholland EK, Olinsky A, Shann FA| title=Clinical findings and severity of acute bronchiolitis. | journal=Lancet | year= 1990 | volume= 335 | issue= 8700 | pages= 1259-61 | pmid=1971330 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1971330 }} </ref> | ||
Revision as of 17:03, 28 May 2014
|
Bronchiolitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bronchiolitis physical examination On the Web |
|
American Roentgen Ray Society Images of Bronchiolitis physical examination |
|
Risk calculators and risk factors for Bronchiolitis physical examination |
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination Adapted from Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases[1]
General appearance
- Ill or toxic appearance
- Cyanosis
Vitals
- Tachypnea
- Fever may or may not be present at the moment of the examination. The lack of fever don't exclude the diagnosis.
Lung
Inspection
- Chest retractions:
- Intercostal retractions
- Substernal retractions
- Nasal flaring in infants
Auscultation
- Wheezing
- Rales (crakles)
- Decreasing respiratory sounds may indicate a progresion in the airway obstruction which may progress to respiratory failure.[2]
The association between cyanosis and rales has been shown as a predictor of severity.[3]
References
- ↑ Mandell, Gerald L.; Bennett, John E. (John Eugene); Dolin, Raphael. (2010). Mandell, Douglas, and Bennett's principles and practice of infectious disease. Philadelphia, PA: Churchill Livingstone/Elsevier.
- ↑ Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L; et al. (2004). "Diagnosis and testing in bronchiolitis: a systematic review". Arch Pediatr Adolesc Med. 158 (2): 119–26. doi:10.1001/archpedi.158.2.119. PMID 14757603.
- ↑ Mulholland EK, Olinsky A, Shann FA (1990). "Clinical findings and severity of acute bronchiolitis". Lancet. 335 (8700): 1259–61. PMID 1971330.