Epiglottitis physical examination: Difference between revisions
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Physical examination of patients suspected of having epiglottitis requires inspection of the [[oropharyngeal]] and suprapharyngeal area. A definitive diagnosis may be established by direct visualization of an erythematous and swollen [[epiglottis]] under [[laryngoscope|laryngoscopy]]. Because of the risk of provoking airway spasm or obstruction, this procedure should be performed only when skilled personnel and equipment to secure the airway are available.<ref name="pmid17561078">{{cite journal| author=Alcaide ML, Bisno AL| title=Pharyngitis and epiglottitis. | journal=Infect Dis Clin North Am | year= 2007 | volume= 21 | issue= 2 | pages= 449-69, vii | pmid=17561078 | doi=10.1016/j.idc.2007.03.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17561078 }} </ref> | Physical examination of patients suspected of having epiglottitis requires inspection of the [[oropharyngeal]] and suprapharyngeal area. A definitive diagnosis may be established by direct visualization of an erythematous and swollen [[epiglottis]] under [[laryngoscope|laryngoscopy]]. Because of the risk of provoking airway spasm or obstruction, this procedure should be performed only when skilled personnel and equipment to secure the airway are available.<ref name="pmid17561078">{{cite journal| author=Alcaide ML, Bisno AL| title=Pharyngitis and epiglottitis. | journal=Infect Dis Clin North Am | year= 2007 | volume= 21 | issue= 2 | pages= 449-69, vii | pmid=17561078 | doi=10.1016/j.idc.2007.03.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17561078 }} </ref> | ||
On physical examination, patients with | On physical examination, patients with [[epiglottitis]] may present with the following:<ref name="pmid24052580">{{cite journal| author=Charles R, Fadden M, Brook J| title=Acute epiglottitis. | journal=BMJ | year= 2013 | volume= 347 | issue= | pages= f5235 | pmid=24052580 | doi=10.1136/bmj.f5235 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24052580 }} </ref><ref name="pmid7497775">{{cite journal| author=Mayo-Smith MF, Spinale JW, Donskey CJ, Yukawa M, Li RH, Schiffman FJ| title=Acute epiglottitis. An 18-year experience in Rhode Island. | journal=Chest | year= 1995 | volume= 108 | issue= 6 | pages= 1640-7 | pmid=7497775 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7497775 }}</ref><ref name="pmid6967138">{{cite journal| author=Ossoff RH, Wolff AP, Ballenger JJ| title=Acute epiglottitis in adults: experience with fifteen cases. | journal=Laryngoscope | year= 1980 | volume= 90 | issue= 7 Pt 1 | pages= 1155-61 | pmid=6967138 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6967138 }}</ref> | ||
*Tenderness of anterior neck | *[[Tenderness]] of [[anterior]] neck | ||
*High temperature | *High [[temperature]] | ||
*Increased | *Increased respiratory rate in both children and adults | ||
*Pharyngeal redness | *[[Pharyngeal]] redness | ||
*Inflammed epiglottis | *Inflammed epiglottis | ||
*Cervical lymphadenopathy | *[[Cervical]] [[lymphadenopathy]] | ||
==References== | ==References== | ||
Revision as of 17:52, 11 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A definitive diagnosis of acute epiglottitis can be confirmed by direct inspection under laryngoscopy, although this may provoke airway obstruction. The epiglottis and arytenoids appear cherry-red and swollen.
Physical Examination
Physical examination of patients suspected of having epiglottitis requires inspection of the oropharyngeal and suprapharyngeal area. A definitive diagnosis may be established by direct visualization of an erythematous and swollen epiglottis under laryngoscopy. Because of the risk of provoking airway spasm or obstruction, this procedure should be performed only when skilled personnel and equipment to secure the airway are available.[1]
On physical examination, patients with epiglottitis may present with the following:[2][3][4]
- Tenderness of anterior neck
- High temperature
- Increased respiratory rate in both children and adults
- Pharyngeal redness
- Inflammed epiglottis
- Cervical lymphadenopathy
References
- ↑ Alcaide ML, Bisno AL (2007). "Pharyngitis and epiglottitis". Infect Dis Clin North Am. 21 (2): 449–69, vii. doi:10.1016/j.idc.2007.03.001. PMID 17561078.
- ↑ Charles R, Fadden M, Brook J (2013). "Acute epiglottitis". BMJ. 347: f5235. doi:10.1136/bmj.f5235. PMID 24052580.
- ↑ Mayo-Smith MF, Spinale JW, Donskey CJ, Yukawa M, Li RH, Schiffman FJ (1995). "Acute epiglottitis. An 18-year experience in Rhode Island". Chest. 108 (6): 1640–7. PMID 7497775.
- ↑ Ossoff RH, Wolff AP, Ballenger JJ (1980). "Acute epiglottitis in adults: experience with fifteen cases". Laryngoscope. 90 (7 Pt 1): 1155–61. PMID 6967138.