Diaphragmatic paralysis physical examination

Diaphragmatic Paralysis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

Patients with unilateral diphragmatic paralysis usually appear normal. Patients with bilateral diaphragmatic paralysis usually are in respiratory distress. The severe forms of bilateral diaphragmatic paralysis would lead to pulmonary hypertension.

Physical Examination

• Physical examination of patients with unilateral diphragmatic paralysis is usually normal.Patients with bilateral diaphragmatic paralysis usually are in respiratory distress. The severe forms of bilateral diaphragmatic paralysis would lead to pulmonary hypertension.
• The severe forms of bilateral diaphragmatic paralysis would lead to pulmonary hypertension. For more information about physical examination in pulmonary hypertension click here.

Appearance of the Patient

• Patients with unilateral diaphragmatic paralysis usually appear normal.
• Patients with bilateral diaphragmatic paralysis usually are in respiratory distress.

Vital Signs

• Tachypnea with exercise may be seen in unilateral diaphragmatic paralysis.
• Tachypnea at rest may be seen in unilateral diaphragmatic paralysis with underlying lung disease.
• Patients with bilateral diphragmatic paralysis have tachypnea that worsens in supine position.

Skin

• Skin examination of patients with diaphragmatic paralysis is usually normal.

HEENT

• HEENT examination of patients with diphragmatic paralysis is usually normal.

Neck

• Neck examination of patients with diaphragmatic paralysis is usually normal.
• Jugular venous distension in severe bilateral diphragmatic paralysis.

Lungs

• Pulmonary examination of patients with unilateral diphragmatic paralysis is usually normal.
• Bilateral diaphragmatic paralysis can lead to pulmonary hypertension

Heart

• Cardiovascular examination of patients with diaphragmatic paralysis is usually normal.

Abdomen

• Abdominal examination of patients with diaphragmatic paralysis is usually normal.

Back

• Back examination of patients with diaphragmatic paralysis is usually normal.

Genitourinary

• Genitourinary examination of patients with diaphragmatic paralysis is usually normal.

Neuromuscular

• Neuromuscular examination of patients with diphragmatic paralysis is usually normal.

Extremities

• Extremities examination of patients with diaphragmatic paralysis is usually normal.