Alpha 1-antitrypsin deficiency physical examination: Difference between revisions

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Scalene muscle retraction
Scalene muscle retraction
===Thorax===
===Thorax===
Intercostal muscle retraction
*Intercostal muscle retraction
Wheezing
*Wheezing
Hyperinflation results in :
*Hyperinflation results in :
barrel chest
*barrel chest
increased percussion note
*increased percussion note
decreased breath sound intensity  
*decreased breath sound intensity  
distant heart sounds.
*distant heart sounds.
 
===Abdomen===
===Abdomen===
Hepatomegaly  
Hepatomegaly  

Revision as of 11:47, 12 December 2017

Alpha 1-antitrypsin deficiency Microchapters

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

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Overview

Physical Examination

Physical examination of patients with AATD is usually remarkable for signs characteristic of increased respiratory work,airflow obstruction and hyperinflation that varies according to the severity of emphysema. Patients with mild emphysema usually have no abnormal findings on physical examination

Appearance of the Patient

Patient may appear normal. Those with severe emphysema develop tachypnea and pursed-lip breathing

Vital Signs

Pulsus paradoxus

Neck

Scalene muscle retraction

Thorax

  • Intercostal muscle retraction
  • Wheezing
  • Hyperinflation results in :
  • barrel chest
  • increased percussion note
  • decreased breath sound intensity
  • distant heart sounds.

Abdomen

Hepatomegaly


References


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