Chronic bronchitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Physical exam

Chronic obstructive pulmonary disease Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Chronic obstructive pulmonary disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography or Ultrasound

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MRI

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Case #1

Chronic bronchitis physical examination On the Web

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Review articles

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Powerpoint slides

Images

American Roentgen Ray Society Images of Chronic bronchitis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chronic bronchitis physical examination

CDC on Chronic bronchitis physical examination

Chronic bronchitis physical examination in the news

Blogs on Chronic bronchitis physical examination

Directions to Hospitals Treating Chronic obstructive pulmonary disease

Risk calculators and risk factors for Chronic bronchitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Philip Marcus, M.D., M.P.H. [3]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [4]

Overview

Chronic obstructive pulmonary disease can be diagnostically evaluated by physical examination through auscultation.

Physical Examination

Physical examination are quite specific and sensitive for severe disease. The signs are usually difficult to detect in cases of mild to moderate diseases.

General physical examination

  • Cyanosis
  • Tachypnea
  • Respiratory distress indicated by use of accessory respiratory muscles. Hoover sign presenting as paradoxical indrawing of lower intercostal spaces is evident (known as the Hoover sign)
  • Elevated jugular venous pulse (JVP)
  • Peripheral edema can be observed.

Pulmonary system

Inspection

  • Hyperinflation (barrel chest)

Percussion

  • Hyperresonance

Auscultation

  • Prolonged expiration; wheezing
  • Diffusely decreased breath sound
  • Additional sounds - coarse crackles with inspiration

Specific features of Chronic bronchitis

  • General appearance: Overweight
  • Coarse rhonchi
  • Signs of right heart failure or cor pulmonale such as edema and cyanosis can be seen.

References


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