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.[1][2]

Appearance of the Patient

  • Lethargic and faitgue

Vital Signs

Skin

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

HEENT

  • Usually normal HEENT examination
  • 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

References

  1. Devouassoux G, Cottin V, Lioté H, Marchand E, Frachon I, Schuller A, Béjui-Thivolet F, Cordier JF (May 2009). "Characterisation of severe obliterative bronchiolitis in rheumatoid arthritis". Eur. Respir. J. 33 (5): 1053–61. doi:10.1183/09031936.00091608. PMID 19129282.
  2. Barker AF, Bergeron A, Rom WN, Hertz MI (May 2014). "Obliterative bronchiolitis". N. Engl. J. Med. 370 (19): 1820–8. doi:10.1056/NEJMra1204664. PMID 24806161.

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