Epiglottitis physical examination: Difference between revisions

Jump to navigation Jump to search
Line 19: Line 19:
*Inflammed epiglottis
*Inflammed epiglottis
*[[Cervical]] [[lymphadenopathy]]
*[[Cervical]] [[lymphadenopathy]]
In addition patients with epiglottitis may adapt the so called tripod posture with hyper-extension of the neck, chin pointing forward and trunk leaning forward.<ref name="pmid15983574">{{cite journal| author=Nickas BJ| title=A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy. | journal=J Emerg Nurs | year= 2005 | volume= 31 | issue= 3 | pages= 234-5; quiz 321 | pmid=15983574 | doi=10.1016/j.jen.2004.10.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15983574  }} </ref>


==References==
==References==

Revision as of 19:43, 17 January 2017

Epiglottitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Epiglottitis from other Diseases

Epidemiology and Demographics

Screening

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Rays

ECG

CT scan

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Epiglottitis physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Epiglottitis 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 Epiglottitis physical examination

CDC on Epiglottitis physical examination

Epiglottitis physical examination in the news

Blogs on Epiglottitis physical examination

Directions to Hospitals Treating Epiglottitis

Risk calculators and risk factors for Epiglottitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

A definitive diagnosis of acute epiglottitis can be confirmed by direct inspection under laryngoscopy, although this may provoke airway obstruction. The epiglottis and the surrounding structures appear erythematous and swollen. Physical examination may include:[1][2][3] tenderness of anterior neck, high temperature, increased respiratory rate in both children and adults, pharyngeal redness and cervical lymphadenopathy

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.[4][5]

On physical examination, patients with epiglottitis may present with the following:[1][2][3][5]

In addition patients with epiglottitis may adapt the so called tripod posture with hyper-extension of the neck, chin pointing forward and trunk leaning forward.[6]

References

  1. 1.0 1.1 Charles R, Fadden M, Brook J (2013). "Acute epiglottitis". BMJ. 347: f5235. doi:10.1136/bmj.f5235. PMID 24052580.
  2. 2.0 2.1 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.
  3. 3.0 3.1 Ossoff RH, Wolff AP, Ballenger JJ (1980). "Acute epiglottitis in adults: experience with fifteen cases". Laryngoscope. 90 (7 Pt 1): 1155–61. PMID 6967138.
  4. 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.
  5. 5.0 5.1 Achong MR (1979). "Respiratory tract infections in adults". Can Fam Physician. 25: 1189–93. PMC 2383214. PMID 21297792.
  6. Nickas BJ (2005). "A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy". J Emerg Nurs. 31 (3): 234–5, quiz 321. doi:10.1016/j.jen.2004.10.015. PMID 15983574.

Template:WH Template:WS