Paediatric-History taking & Physical examination of Pleural effusion

Paediatric-History taking & Physical examination of Pleural effusionCreated OnApril 24, 2020Last Updated OnApril 24, 2020byadmin You are here: Main Clinical Examination Paediatric-History taking & Physical examination of Pleural effusion < All Topics Table of Contents Clinical including history taking and physical examination not to miss: Clinical features Presentation depends on size and location of effusion Small amount may be asymptomatic Large amount Dyspnoea Respiratory distress Dull/pleuritic chest pain Coughing Subpulmonic fluid – vomiting, abdominal pain, abdominal distension (paralytic ileus) History taking Ask about current symptoms – onset, progression, associated symptoms Ask about history of trauma Ask about birth history Ask about past medical history History of pneumonia – parapneumonic effusion/empyema History of tuberculosis – night sweats, fever, haemoptyis, weight loss Malignancy – asymptomatic or coughing with low grade fever Congestive heart failure Nephrotic syndrome History of pneumonia – persistent fever, cough, chest pain, dyspnoea Physical examination General examination: Wellbeing – pain/discomfort/sick/toxic Built – cachexic/thin in malignancy and tuberculosis Respiratory examination: Palpation Displace trachea to contralateral side Reduced chest expansion Reduce tactile fremitus Percussion Stony dullness Auscultation Reduce air entry Reduce vocal fremitus Voice egophony over the effusion Pleural rub Taken from Doctrina Perpetua guides on Paediatric

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