Respiratory acidosis physical examination
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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.[3][4]
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.
- ↑ 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.