Tracheitis physical examination

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

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Physical examination of patients with [tracheitis] is usually remarkable for [stridor], [tracheal tenderness], and [intercostal retractions].


Appearance of the Patient

  • Patients with bacterial tracheitis may appear toxic, lethargic and in respiratory distress.

Vital Signs

  • Fever
  • Tachypnea
  • Low blood pressure

Skin

  • Cyanosis in impending respiratory distress


HEENT

  • Inflamed nares / congested nares
  • Purulent exudate from the nares
  • Erythematous throat
  • Mild drooling

Neck

Lungs

  • Stridor (Inspiratory or Biphasic)
  • Decreased chest expansion
  • Coarse crackles upon auscultation of the lungs bilaterally
  • Egophony present when pneumonia develops as a complication
  • Bronchophony present when pneumonia develops as a complication

Heart

  • Rapid heart rate can be heard on auscultation

Abdomen

  • Abdominal examination of patients with tracheitis is usually normal.

Back

  • Back examination of patients with tracheitis is usually normal.

Genitourinary

  • Genitourinary examination of patients with tracheitis is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with tracheitis is usually normal
  • Altered mental status/ acute confusion may be present in hypoxemic individuals

Extremities

Reference

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