Adult bronchiolitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, tachypnea, wheezing and sometimes, a low grade fever.

Physical Examination

Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, tachypnea, wheezing and sometimes, a low grade fever.

Appearance of the Patient

• Patients with adult bronchiolitis usually appears lethargic and faitgued.

Vital Signs

• Low-grade fever
• Tachypnea
• Shallow breathing

Skin

• Cyanosis
• Ecidence of mineral dust or other material staining the skin

HEENT

• HEENT examination of patients with adult bronchiolitis is usually normal.
• Facial tenderness if experiencing sinusitis

Lungs

• Fine crackles upon auscultation of the lung bases unilaterally or bilaterally
• Rhonchi
• Bronchial breathing
• Expiratory wheezing with delayed expiratory phase
• Wheezing may be present
• Fine rales
• May use accessory muscles to breathe

Extremities

• Clubbing
• Cyanosis