Bronchiectasis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The most common signs of bronchiectasis are coarse [[crackles]], [[rhonchi]], and wheezes on auscultation. | The most common signs of bronchiectasis are coarse [[crackles]], [[rhonchi]], and [[Wheeze|wheezes]] on [[auscultation]]. | ||
==Bronchiectasis Physical Examination== | ==Bronchiectasis Physical Examination== | ||
===General appearance=== | ===General appearance=== | ||
*Lethargy | *[[Lethargy]] | ||
* Weight loss | * [[Weight loss]] | ||
*Progressive functional loss | *Progressive functional loss | ||
*Wasting | *Wasting | ||
*Syncope with activity | *[[Syncope]] with activity | ||
*Children may not grow at a normal rate | *Children may not grow at a normal rate | ||
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===Chest=== | ===Chest=== | ||
* Course [[crackles]] | * Course [[crackles]] | ||
** These can be heard in early [[inspiration]] and often in the lower lung zones | |||
*[[Rhonchi]] | *[[Rhonchi]] | ||
*[[Wheeze]] | *[[Wheeze]] | ||
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*[[Nasal polyps]] | *[[Nasal polyps]] | ||
*Breath odor | *[[Halitosis|Breath odor]] | ||
*Increased [[jugular venous pressure]] | *Increased [[jugular venous pressure]] | ||
*Prominent neck and facial veins | *Prominent [[neck]] and facial [[Vein|veins]] | ||
===Extremeties=== | ===Extremeties=== |
Revision as of 15:05, 9 February 2018
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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
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