Hemoptysis physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
* Physical examination of patients with [disease name] is usually normal.
*Physical examination of patients with hemoptysis might be normal. However, patients might show findings depend on underlying causes.<ref name="LeeKim2015">{{cite journal|last1=Lee|first1=Myoung Kyu|last2=Kim|first2=Sang-Ha|last3=Yong|first3=Suk Joong|last4=Shin|first4=Kye Chul|last5=Kim|first5=Hyun Sik|last6=Yu|first6=Tae-Sun|last7=Choi|first7=Eun Hee|last8=Lee|first8=Won-Yeon|title=Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization|journal=The Clinical Respiratory Journal|volume=9|issue=1|year=2015|pages=53–64|issn=17526981|doi=10.1111/crj.12104}}</ref><ref name="KhalilFedida2015">{{cite journal|last1=Khalil|first1=A.|last2=Fedida|first2=B.|last3=Parrot|first3=A.|last4=Haddad|first4=S.|last5=Fartoukh|first5=M.|last6=Carette|first6=M.-F.|title=Severe hemoptysis: From diagnosis to embolization|journal=Diagnostic and Interventional Imaging|volume=96|issue=7-8|year=2015|pages=775–788|issn=22115684|doi=10.1016/j.diii.2015.06.007}}</ref><ref name="BruzziRémy-Jardin2006">{{cite journal|last1=Bruzzi|first1=John F.|last2=Rémy-Jardin|first2=Martine|last3=Delhaye|first3=Damien|last4=Teisseire|first4=Antoine|last5=Khalil|first5=Chadi|last6=Rémy|first6=Jacques|title=Multi–Detector Row CT of Hemoptysis|journal=RadioGraphics|volume=26|issue=1|year=2006|pages=3–22|issn=0271-5333|doi=10.1148/rg.261045726}}</ref>
OR
*Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill.  
*Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
*Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes.
*The presence of [finding(s)] on physical examination is diagnostic of [disease name].
*The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


===Appearance of the Patient===
===Appearance of the Patient===
*Patients with [disease name] usually appear [general appearance].  
*Patients with hemoptysis usually appear anxious.
*Patients with massive hemoptysis usually appear critically ill.


===Vital Signs===
===Vital Signs===
*Low-grade fever
*Low-grade fever
*[[Tachycardia]] with regular pulse
*[[Tachycardia]] with regular pulse
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===Lungs===
===Lungs===
* Decreased chest expansion
*Decreased chest expansion
*Fine/coarse [[crackles]] upon auscultation of the lung bases unilaterally or bilaterally
*Coarse [[crackles]] upon auscultation of the lung bases unilaterally or bilaterally
*Decreased breath sounds
*Decreased breath sounds
*[[Wheezing]] may be present
*[[Wheezing]] may be present
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===Back===
===Back===
* Back examination of patients with [disease name] is usually normal.
* Back examination of patients with hemoptysis is usually normal.
===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with hemoptysis is usually normal.
* Genitourinary examination of patients with hemoptysis is usually normal.

Revision as of 21:54, 26 February 2018

Hemoptysis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

  • Physical examination of patients with hemoptysis might be normal. However, patients might show findings depend on underlying causes.[1][2][3]
  • Patients with hemoptysis usually appear anxious and depend on the severity of bleeding they might be critically ill.
  • Patients with hemoptysis usually have abnormal vital signs indicating dehydration, other signs of mucosal bleeding, purulent bloody sputum, and abnormal lung exam indicating underlying pulmonary causes.

Appearance of the Patient

  • Patients with hemoptysis usually appear anxious.
  • Patients with massive hemoptysis usually appear critically ill.

Vital Signs

  • Low-grade fever
  • Tachycardia with regular pulse
  • Tachypnea
  • Low blood pressure with normal pulse pressure

Skin

  • Bruises
  • Telangiectasia
  • Palpable purpura
  • Rash

HEENT

  • Purulent bloody sputum

Neck

Lungs

  • Decreased chest expansion
  • Coarse crackles upon auscultation of the lung bases unilaterally or bilaterally
  • Decreased breath sounds
  • Wheezing may be present

Heart

Abdomen

Back

  • Back examination of patients with hemoptysis is usually normal.

Genitourinary

  • Genitourinary examination of patients with hemoptysis is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with hemoptysis is usually normal.

Extremities

  • Peripheral edema
  • Clubbing of the digits
  • Joint effusions
  • Periarticular warmth

References

  1. Lee, Myoung Kyu; Kim, Sang-Ha; Yong, Suk Joong; Shin, Kye Chul; Kim, Hyun Sik; Yu, Tae-Sun; Choi, Eun Hee; Lee, Won-Yeon (2015). "Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization". The Clinical Respiratory Journal. 9 (1): 53–64. doi:10.1111/crj.12104. ISSN 1752-6981.
  2. Khalil, A.; Fedida, B.; Parrot, A.; Haddad, S.; Fartoukh, M.; Carette, M.-F. (2015). "Severe hemoptysis: From diagnosis to embolization". Diagnostic and Interventional Imaging. 96 (7–8): 775–788. doi:10.1016/j.diii.2015.06.007. ISSN 2211-5684.
  3. Bruzzi, John F.; Rémy-Jardin, Martine; Delhaye, Damien; Teisseire, Antoine; Khalil, Chadi; Rémy, Jacques (2006). "Multi–Detector Row CT of Hemoptysis". RadioGraphics. 26 (1): 3–22. doi:10.1148/rg.261045726. ISSN 0271-5333.