Bronchiectasis physical examination: Difference between revisions
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===General appearance=== | ===General appearance=== | ||
*Lethargy | *Lethargy | ||
*Weight loss | * Weight loss | ||
*Progressive functional loss | *Progressive functional loss | ||
*Wasting | *Wasting | ||
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===Heart=== | ===Heart=== | ||
*[[Right ventricular hypertrophy]] (RVH) | *[[Right ventricular hypertrophy]] (RVH) | ||
*Heart [[ | *Heart [[murmurs]] | ||
===Abdomen=== | ===Abdomen=== |
Revision as of 15:22, 1 July 2015
Bronchiectasis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.
Overview
Symptoms of bronchiectasis can take months or even years to develop. The most common signs of bronchiectasis are coarse crackles, rhonchi, and wheezes on auscultation.
Bronchiectasis Physical Examination
General appearance
- Lethargy
- Weight loss
- Progressive functional loss
- Wasting
- Syncope with activity
- Children may not grow at a normal rate
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease (massive hemoptysis or sepsis) may have the following vital signs:
- Decreased SPO2
- Fever
- Tachycardia
- Tachypnea
- Hypotension
Chest
- Course crackles
- These can be heard in early inspiration and often in the lower lung zones
Heart
- Right ventricular hypertrophy (RVH)
- Heart murmurs
Abdomen
Skin
ENT
- Breath odor
- Increased jugular venous pressure
- Prominent neck and facial veins
Extremeties
- Digital clubbing
- Pedal edema