Acute viral nasopharyngitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Usually, patients with acute viral nasopharyngitis appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for runny nose, hyperemic nasal mucosa, and mild cervical lymphadenopathy.

Physical examination

The common cold is defined as nose inflammation along with various degrees of pharynx inflammation.[1]

Appearance of the patient

Patient usually appears ill.

Vital signs

Temperature

  • Fever is not usually present. Fever points more toward influenza than acute viral nasopharyngitis.

Blood pressure

Pulse rate

Respiration rate

Eyes

Head

Nose

  • Nasal mucosa is usually red and hyperemic.
  • Discharge may be in various colors, from yellow to green. However, the color of discharge is not indicative of the etiologic organism.[1]

Throat

  • The pharynx usually is normal on inspection. However, local inflammation is a consequence of disease progression.[2]

Lungs

References

  1. 1.0 1.1 Heikkinen T, Järvinen A (2003). "The common cold". Lancet. 361 (9351): 51–9. doi:10.1016/S0140-6736(03)12162-9. PMID 12517470.
  2. Eccles R (2005). "Understanding the symptoms of the common cold and influenza". Lancet Infect Dis. 5 (11): 718–25. doi:10.1016/S1473-3099(05)70270-X. PMID 16253889.