Adenoiditis physical examination

Adenoiditis Microchapters
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Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Adenoiditis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
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Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
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.

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
• 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:
  • Erythema of the middle ear.
  • Presence of effusion.
  • 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 tenderness can be present as a result of concurrent sinusitis
• 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 may be present due

Lungs

• Fine crackles upon auscultation of the lung due to concurrent pneumonia