Influenza physical examination: Difference between revisions

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==Overview==
==Overview==
 
During the physical examination in a patient with influenza, findings can include [[fever]], [[tachycardia]], [[tachypnea]], [[sore throat]], and [[fatigue]].  Complications can worsen the patient's condition and findings in the lung examination may include [[dry cough]], [[rales]] and focal [[wheezing]].


==Physical Examination==
==Physical Examination==

Revision as of 20:19, 24 October 2014

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

Overview

During the physical examination in a patient with influenza, findings can include fever, tachycardia, tachypnea, sore throat, and fatigue. Complications can worsen the patient's condition and findings in the lung examination may include dry cough, rales and focal wheezing.

Physical Examination

The physical examination in a patient with influenza depends on several factors, such as age, comorbidities and immune response. Physical findings could vary among patient, from a mild disease with few signs and symptoms, to severely ill patients with respiratory insufficiency. [1]

Appearance

  • Fatigue

Vitals

  • Fever (100-104° F)
  • Tachycardia
  • Tachypnea

Skin

  • Flushing may be present
  • Rash may be present
  • Increased sweating

Eyes

  • Watery eyes
  • Redness

Nose

  • Nasal congestion
  • Runny nose

Throat

  • Erythema and inflammation may be present
  • Pharyngitis

Lungs

  • Usually lung examination is normal
  • Findings of severe disease include
  • Dry cough
  • Rales
  • Focal wheezing

References

  1. Lessler, Justin; Reich, Nicholas G.; Cummings, Derek A.T. (2009). "Outbreak of 2009 Pandemic Influenza A (H1N1) at a New York City School". New England Journal of Medicine. 361 (27): 2628–2636. doi:10.1056/NEJMoa0906089. ISSN 0028-4793.

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