Adenoiditis physical examination: Difference between revisions
Jump to navigation
Jump to search
(→Lungs) |
m (Bot: Removing from Primary care) |
||
| (7 intermediate revisions by 2 users not shown) | |||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Patients with adenoiditis are usually good-appearing. Physical examination of patients with adenoiditis is usually remarkable for fever, and purulent nasal discharges.<ref name="pmid25950686">{{cite journal |vauthors=Kosikowska U, Korona-Głowniak I, Niedzielski A, Malm A |title=Nasopharyngeal and Adenoid Colonization by Haemophilus influenzae and Haemophilus parainfluenzae in Children Undergoing Adenoidectomy and the Ability of Bacterial Isolates to Biofilm Production |journal=Medicine (Baltimore) |volume=94 |issue=18 |pages=e799 |year=2015 |pmid=25950686 |pmc=4602522 |doi=10.1097/MD.0000000000000799 |url=}}</ref> | Patients with adenoiditis are usually good-appearing. Physical examination of patients with adenoiditis is usually remarkable for fever, and purulent nasal discharges.<ref name="pmid25950686">{{cite journal |vauthors=Kosikowska U, Korona-Głowniak I, Niedzielski A, Malm A |title=Nasopharyngeal and Adenoid Colonization by Haemophilus influenzae and Haemophilus parainfluenzae in Children Undergoing Adenoidectomy and the Ability of Bacterial Isolates to Biofilm Production |journal=Medicine (Baltimore) |volume=94 |issue=18 |pages=e799 |year=2015 |pmid=25950686 |pmc=4602522 |doi=10.1097/MD.0000000000000799 |url=}}</ref><ref name="pmid27605988">{{cite journal |vauthors=Kajan ZD, Sigaroudi AK, Mohebbi M |title=Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population |journal=Dent Res J (Isfahan) |volume=13 |issue=4 |pages=315–21 |year=2016 |pmid=27605988 |pmc=4993058 |doi= |url=}}</ref><ref name="pmid17883191">{{cite journal |vauthors=Galli J, Calò L, Ardito F, Imperiali M, Bassotti E, Fadda G, Paludetti G |title=Biofilm formation by Haemophilus influenzae isolated from adeno-tonsil tissue samples, and its role in recurrent adenotonsillitis |journal=Acta Otorhinolaryngol Ital |volume=27 |issue=3 |pages=134–8 |year=2007 |pmid=17883191 |pmc=2640046 |doi= |url=}}</ref> | ||
== Physical exam == | == Physical exam == | ||
| Line 12: | Line 12: | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Fever | *Fever | ||
*[[Tachycardia]] can be present as a | *[[Tachycardia]] can be present as a result of infection or pneumonia | ||
*[[Tachypnea]] can be present as a result of infection or pneumonia | *[[Tachypnea]] can be present as a result of infection or pneumonia | ||
===HEENT=== | ===HEENT=== | ||
*[[Otoscopy|Otoscopic]] examination of the ears may reveal the following signs indicative of concurrent otitis media:<ref name="pmid25213276">{{cite journal |vauthors=Rettig E, Tunkel DE |title=Contemporary concepts in management of acute otitis media in children |journal=Otolaryngol. Clin. North Am. |volume=47 |issue=5 |pages=651–72 |year=2014 |pmid=25213276 |pmc=4393005 |doi=10.1016/j.otc.2014.06.006 |url=}}</ref> | *[[Otoscopy|Otoscopic]] examination of the ears may reveal the following signs indicative of concurrent otitis media:<ref name="pmid25213276">{{cite journal |vauthors=Rettig E, Tunkel DE |title=Contemporary concepts in management of acute otitis media in children |journal=Otolaryngol. Clin. North Am. |volume=47 |issue=5 |pages=651–72 |year=2014 |pmid=25213276 |pmc=4393005 |doi=10.1016/j.otc.2014.06.006 |url=}}</ref> | ||
**[[Erythema]] of the [[middle ear]] | **[[Erythema]] of the [[middle ear]] | ||
**Presence of effusion | **Presence of purulent effusion<ref name="pmid23346249">{{cite journal |vauthors=Parlea E, Georgescu M, Calarasu R |title=Tympanometry as a predictor factor in the evolution of otitis media with effusion |journal=J Med Life |volume=5 |issue=4 |pages=452–4 |year=2012 |pmid=23346249 |pmc=3539835 |doi= |url=}}</ref> | ||
**Bulging of the [[tympanic membrane]] in otitis media with effusion | **Bulging of the [[tympanic membrane]] in otitis media with effusion | ||
**Cloudy appearance of the [[tympanic membrane]] | **Cloudy appearance of the [[tympanic membrane]] | ||
**Immobility of the [[tympanic membrane]] | **Immobility of the [[tympanic membrane]] | ||
**[[Tympanic membrane]] perforation | **[[Tympanic membrane]] perforation | ||
*[[Purulent]] exudate from nose can be present as a result of concurrent sinusitis | *[[Purulent]] exudate from nose can be present as a result of concurrent sinusitis | ||
*Facial tenderness can be present as a result of concurrent sinusitis | *Facial and [[Maxilla|maxillary tenderness]] can be present as a result of concurrent [[sinusitis]] or the acute adenoiditis itself | ||
*Erythematous throat with tonsillar swelling, exudates, and/or petechiae | *[[Erythematous]] throat with tonsillar swelling, exudates, and/or petechiae | ||
*Oral mucous may be dry with ulcers due to mouth breathing | *Oral mucous may be dry with ulcers due to mouth breathing | ||
===Neck=== | ===Neck=== | ||
*[[Lymphadenopathy]] of cervical nodes | *[[Lymphadenopathy]] of cervical nodes | ||
===Lungs=== | ===Lungs=== | ||
*Fine [[crackles]] upon auscultation of the lung due to concurrent pneumonia | *Fine [[crackles]] upon auscultation of the lung due to concurrent pneumonia | ||
| Line 33: | Line 33: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Otolaryngology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Pulmonology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
[[Category:Surgery]] | |||
Latest revision as of 20:18, 29 July 2020
|
Adenoiditis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]
Overview
Patients with adenoiditis are usually good-appearing. Physical examination of patients with adenoiditis is usually remarkable for fever, and purulent nasal discharges.[1][2][3]
Physical exam
Appearance of the Patient
- Patient is usually good-appearing in early stages, but may be ill appearing if the complications and disease severity are present.
Vital Signs
- Fever
- Tachycardia can be present as a result of infection or pneumonia
- Tachypnea can be present as a result of infection or pneumonia
HEENT
- Otoscopic examination of the ears may reveal the following signs indicative of concurrent otitis media:[4]
- Erythema of the middle ear
- Presence of purulent effusion[5]
- Bulging of the tympanic membrane in otitis media with effusion
- Cloudy appearance of the tympanic membrane
- Immobility of the tympanic membrane
- Tympanic membrane perforation
- Purulent exudate from nose can be present as a result of concurrent sinusitis
- Facial and maxillary tenderness can be present as a result of concurrent sinusitis or the acute adenoiditis itself
- Erythematous throat with tonsillar swelling, exudates, and/or petechiae
- Oral mucous may be dry with ulcers due to mouth breathing
Neck
- Lymphadenopathy of cervical nodes
Lungs
- Fine crackles upon auscultation of the lung due to concurrent pneumonia
References
- ↑ Kosikowska U, Korona-Głowniak I, Niedzielski A, Malm A (2015). "Nasopharyngeal and Adenoid Colonization by Haemophilus influenzae and Haemophilus parainfluenzae in Children Undergoing Adenoidectomy and the Ability of Bacterial Isolates to Biofilm Production". Medicine (Baltimore). 94 (18): e799. doi:10.1097/MD.0000000000000799. PMC 4602522. PMID 25950686.
- ↑ Kajan ZD, Sigaroudi AK, Mohebbi M (2016). "Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population". Dent Res J (Isfahan). 13 (4): 315–21. PMC 4993058. PMID 27605988.
- ↑ Galli J, Calò L, Ardito F, Imperiali M, Bassotti E, Fadda G, Paludetti G (2007). "Biofilm formation by Haemophilus influenzae isolated from adeno-tonsil tissue samples, and its role in recurrent adenotonsillitis". Acta Otorhinolaryngol Ital. 27 (3): 134–8. PMC 2640046. PMID 17883191.
- ↑ Rettig E, Tunkel DE (2014). "Contemporary concepts in management of acute otitis media in children". Otolaryngol. Clin. North Am. 47 (5): 651–72. doi:10.1016/j.otc.2014.06.006. PMC 4393005. PMID 25213276.
- ↑ Parlea E, Georgescu M, Calarasu R (2012). "Tympanometry as a predictor factor in the evolution of otitis media with effusion". J Med Life. 5 (4): 452–4. PMC 3539835. PMID 23346249.