Acute viral nasopharyngitis physical examination: Difference between revisions
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Usually, patients with acute viral nasopharyngitis appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for [[runny nose]], hyperemic nasal [[mucosa]], and mild [[Lymphadenopathy|cervical lymphadenopathy]]. | Usually, patients with acute viral nasopharyngitis appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for [[runny nose]], hyperemic nasal [[mucosa]], and mild [[Lymphadenopathy|cervical lymphadenopathy]]. | ||
==Physical examination== | ==Physical examination== | ||
The common cold is defined as nose [[inflammation]] along with various degrees of [[pharynx]] [[inflammation]].<ref name="pmid12517470">{{cite journal |vauthors=Heikkinen T, Järvinen A |title=The common cold |journal=Lancet |volume=361 |issue=9351 |pages=51–9 |year=2003 |pmid=12517470 |doi=10.1016/S0140-6736(03)12162-9 |url=}}</ref> | |||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
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===Vital signs=== | ===Vital signs=== | ||
====Temperature==== | ====Temperature==== | ||
*[[Fever]] is not present | *[[Fever]] is not usually present. [[Fever]] points more toward [[influenza]] than acute viral nasopharyngitis. | ||
====Blood pressure==== | ====Blood pressure==== | ||
* [[Blood pressure]] | * [[Blood pressure]] usually remains within normal limits. | ||
====Pulse rate==== | ====Pulse rate==== | ||
* [[Pulse]] may be normal or increased | * [[Pulse]] may be normal or increased due to [[infection]]. | ||
====Respiration rate==== | ====Respiration rate==== | ||
*[[Tachypnea]] may be present. | *[[Tachypnea]] may be present. | ||
| Line 21: | Line 21: | ||
*[[Conjunctiva|Conjunctivae]] may be congested, with [[Tears|tearing]] of both eyes. | *[[Conjunctiva|Conjunctivae]] may be congested, with [[Tears|tearing]] of both eyes. | ||
===Head=== | ===Head=== | ||
*[[Tenderness]] of [[sinuses]] may be elicited | *[[Tenderness]] of [[sinuses]] may be elicited if [[sinusitis]] is present. | ||
*[[ | *Non tender cervical [[lymphadenopathy]] | ||
===Nose=== | ===Nose=== | ||
*[[Nasal mucosa]] is usually red and hyperemic. | *[[Nasal mucosa]] is usually red and hyperemic. | ||
*Discharge may be in various colors, from yellow to green. However, | *[[Discharge]] may be in various colors, from yellow to green. However, the color of discharge is not indicative of the etiologic organism.<ref name="pmid12517470">{{cite journal |vauthors=Heikkinen T, Järvinen A |title=The common cold |journal=Lancet |volume=361 |issue=9351 |pages=51–9 |year=2003 |pmid=12517470 |doi=10.1016/S0140-6736(03)12162-9 |url=}}</ref> | ||
===Throat=== | ===Throat=== | ||
*[[ | *The [[pharynx]] usually is normal on inspection. However, local inflammation is a consequence of disease progression.<ref name="pmid16253889">{{cite journal |vauthors=Eccles R |title=Understanding the symptoms of the common cold and influenza |journal=Lancet Infect Dis |volume=5 |issue=11 |pages=718–25 |year=2005 |pmid=16253889 |doi=10.1016/S1473-3099(05)70270-X |url=}}</ref> | ||
===Lungs=== | ===Lungs=== | ||
*Lungs are typically clear to [[auscultation]]. | *Lungs are typically clear to [[auscultation]]. | ||
*[[Crackles]] and [[rhonchi]] may be | *[[Crackles]] and [[rhonchi]] may be heard if disease complicated by [[lower respiratory tract infection]] and [[pneumonia]]. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Otolaryngology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:17, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Usually, patients with acute viral nasopharyngitis appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for runny nose, hyperemic nasal mucosa, and mild cervical lymphadenopathy.
Physical examination
The common cold is defined as nose inflammation along with various degrees of pharynx inflammation.[1]
Appearance of the patient
Patient usually appears ill.
Vital signs
Temperature
Blood pressure
- Blood pressure usually remains within normal limits.
Pulse rate
Respiration rate
- Tachypnea may be present.
Eyes
- Conjunctivae may be congested, with tearing of both eyes.
Head
- Tenderness of sinuses may be elicited if sinusitis is present.
- Non tender cervical lymphadenopathy
Nose
- Nasal mucosa is usually red and hyperemic.
- Discharge may be in various colors, from yellow to green. However, the color of discharge is not indicative of the etiologic organism.[1]
Throat
- The pharynx usually is normal on inspection. However, local inflammation is a consequence of disease progression.[2]
Lungs
- Lungs are typically clear to auscultation.
- Crackles and rhonchi may be heard if disease complicated by lower respiratory tract infection and pneumonia.
References
- ↑ 1.0 1.1 Heikkinen T, Järvinen A (2003). "The common cold". Lancet. 361 (9351): 51–9. doi:10.1016/S0140-6736(03)12162-9. PMID 12517470.
- ↑ Eccles R (2005). "Understanding the symptoms of the common cold and influenza". Lancet Infect Dis. 5 (11): 718–25. doi:10.1016/S1473-3099(05)70270-X. PMID 16253889.