Aspiration pneumonia physical examination
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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 aspiration might appear normal or toxic. Physical examination of patients with aspiration pneumonia is usually remarkable for fever, tachypnea, hypotension, crackles, decreased breath sounds, and increased tactile fremitus.
Physical Examination
- Physical examination of patients with aspiration pneumonia is usually remarkable for fever, tachypnea, hypotension, crackles, decreased breath sounds, and increased tactile fremitus.[1][2][3][4][5]
Appearance of the Patient
- Patients with aspiration may appear normal or toxic.
Vital Signs
Skin
- Skin examination of patients with aspiration pneumonia is usually normal.
HEENT
- HEENT examination of patients with aspiration pneumonia is usually normal.
Neck
- Neck examination of patients with aspiration pneumonia is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases unilaterally
- Rhonchi
- Increased tactile fremitus
- Decreased breath sounds
- Bronchial breath sounds
- Dullness on percussion
Heart
- Cardiovascular examination of patients with aspiration pneumonia is usually normal.
Abdomen
Abdominal examination of patients with aspiration pneumonia is usually normal.
Back
- Back examination of patients with aspiration pneumonia is usually normal.
Genitourinary
- Genitourinary examination of patients with aspiration pneumonia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with aspiration pneumonia is usually normal.
Extremities
- Extremities examination of patients with aspiration pneumonia is usually normal.
References
- ↑ Marik, Paul E. (2001). "Aspiration Pneumonitis and Aspiration Pneumonia". New England Journal of Medicine. 344 (9): 665–671. doi:10.1056/NEJM200103013440908. ISSN 0028-4793.
- ↑ DiBardino, David M.; Wunderink, Richard G. (2015). "Aspiration pneumonia: A review of modern trends". Journal of Critical Care. 30 (1): 40–48. doi:10.1016/j.jcrc.2014.07.011. ISSN 0883-9441.
- ↑ Wei, Chaojie; Cheng, Zhenshun; Zhang, Li; Yang, Jiong (2013). "Microbiology and prognostic factors of hospital- and community-acquired aspiration pneumonia in respiratory intensive care unit". American Journal of Infection Control. 41 (10): 880–884. doi:10.1016/j.ajic.2013.01.007. ISSN 0196-6553.
- ↑ Luk, James KH; Chen, Daniel KY (2014). "Preventing aspiration pneumonia in older people: do we have the 'know-how'?". Hong Kong Medical Journal. doi:10.12809/hkmj144251. ISSN 1024-2708.
- ↑ Taylor, Joanne K.; Fleming, Gillian B.; Singanayagam, Aran; Hill, Adam T.; Chalmers, James D. (2013). "Risk Factors for Aspiration in Community-acquired Pneumonia: Analysis of a Hospitalized UK Cohort". The American Journal of Medicine. 126 (11): 995–1001. doi:10.1016/j.amjmed.2013.07.012. ISSN 0002-9343.