Alpha 1-antitrypsin deficiency physical examination
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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