Lung abscess physical examination

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

Physical Examination

Appearance

Patients are generally cachectic at presentation.

Oral Cavity

Dental decay is common, especially in alcoholics and children.

Neurological examination

• Gag reflex may be absent in patients with an underlying neurologic disorder such as stroke.

Lungs

On examination of the chest, there will be features of consolidation

• Dullness to percussion
• Decreased breath sounds on the side of lung abscess
• Bronchial breath sounds on auscultation
• Inspiratory crackles
• Localised crepitations

Extremities

Finger clubbing is present in one third of patients.

Reference

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