Bronchiolitis physical examination

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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]

Tachypnea
Fever may or may not be present at the moment of the examination. The lack of fever don't exclude the diagnosis.

Wheezing
Rales (crakles)
Decreasing respiratory sounds may indicate a progresion in the airway obstruction which may progress to respiratory failure.^[2]
Sound changes during examaninations is characteristic of bronchiolitis.

The association between cyanosis and rales has been shown as a predictor of severity.^[3]

↑ 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.