Bronchitis physical examination: Difference between revisions
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{{CMG}}{{AE}}{{MehdiP}} | {{CMG}}{{AE}}{{MehdiP}}; {{NRM}} | ||
{{Bronchitis}} | {{Bronchitis}} | ||
==Overview== | ==Overview== | ||
[[Physical examination]] often | [[Physical examination]] often reveals signs of airflow narrowing and irritation, which consists of the following: cough with or without [[sputum]], [[wheezing]], and prolonged expiratory phase. Abnormal breathing sounds, such as [[rhonchi]] and [[rales]], are common findings in bronchitis. | ||
==Physical Examination== | ==Physical Examination== | ||
*Common physical examination findings of [[acute bronchitis]] are non specific and includes<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref><ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref> | *Common physical examination findings of [[acute bronchitis]] are non specific and includes:<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref><ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref> | ||
#[[Fever]] | |||
*Common physical examination findings of [[chronic bronchitis]] can be cyanosis, tachypnea, use of accessory respiratory muscles, paradoxical indrawing of lower intercostal spaces | #Prolonged expiration | ||
#[[Wheezing]] due to [[bronchospasm]] and reduced [[FEV1]] has been shown in up to 40% of patients | |||
#[[Rhonchi]] | |||
#[[Rales]] | |||
*Common physical examination findings of [[chronic bronchitis]] can be [[cyanosis]], [[tachypnea]], use of accessory respiratory muscles, paradoxical indrawing of lower intercostal spaces (known as the ''Hoover sign''), elevated jugular venous pulse, and peripheral [[edema]]. In pulmonary examination, [[barrel chest]] ([[emphysema]]), [[wheezing]], hyperresonance, [[rales]], and [[rhonchi]] may be found. ''Blue bloaters'', are plethoric (red face/cheeks due to a [[polycythemia]] secondary to chronic [[hypoxia]]) and cyanotic (due to decreased hemoglobin saturation) seen in advanced stages of disease.<ref name="pmid8430714">{{cite journal |vauthors=Badgett RG, Tanaka DJ, Hunt DK, Jelley MJ, Feinberg LE, Steiner JF, Petty TL |title=Can moderate chronic obstructive pulmonary disease be diagnosed by historical and physical findings alone? |journal=Am. J. Med. |volume=94 |issue=2 |pages=188–96 |year=1993 |pmid=8430714 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:General practice]] | [[Category:General practice]] | ||
Latest revision as of 20:44, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.
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Bronchitis Main page |
Overview
Physical examination often reveals signs of airflow narrowing and irritation, which consists of the following: cough with or without sputum, wheezing, and prolonged expiratory phase. Abnormal breathing sounds, such as rhonchi and rales, are common findings in bronchitis.
Physical Examination
- Common physical examination findings of acute bronchitis are non specific and includes:[1][2]
- Fever
- Prolonged expiration
- Wheezing due to bronchospasm and reduced FEV1 has been shown in up to 40% of patients
- Rhonchi
- Rales
- Common physical examination findings of chronic bronchitis can be cyanosis, tachypnea, use of accessory respiratory muscles, paradoxical indrawing of lower intercostal spaces (known as the Hoover sign), elevated jugular venous pulse, and peripheral edema. In pulmonary examination, barrel chest (emphysema), wheezing, hyperresonance, rales, and rhonchi may be found. Blue bloaters, are plethoric (red face/cheeks due to a polycythemia secondary to chronic hypoxia) and cyanotic (due to decreased hemoglobin saturation) seen in advanced stages of disease.[3]
References
- ↑ Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
- ↑ Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. doi:10.1056/NEJMcp061493. PMID 17108344.
- ↑ Badgett RG, Tanaka DJ, Hunt DK, Jelley MJ, Feinberg LE, Steiner JF, Petty TL (1993). "Can moderate chronic obstructive pulmonary disease be diagnosed by historical and physical findings alone?". Am. J. Med. 94 (2): 188–96. PMID 8430714.