Physical signs in patients with chronic obstructive pulmonary disease
We reviewed the various physical signs of chronic obstructive pulmonary disease, their pathogenesis, and clinical importance. We searched PubMed, EMBASE, and the CINAHL from inception to March 2018. We used the following search terms: chronic obstructive pulmonary disease, physical examination, purs...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
Series: | Lung India |
Subjects: | |
Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=1;spage=38;epage=47;aulast=Sarkar |
id |
doaj-c8f12ee3ab7845d6ac5be1b54d4c1ac2 |
---|---|
record_format |
Article |
spelling |
doaj-c8f12ee3ab7845d6ac5be1b54d4c1ac22020-11-25T00:41:56ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2019-01-01361384710.4103/lungindia.lungindia_145_18Physical signs in patients with chronic obstructive pulmonary diseaseMalay SarkarRajeev BhardwazIrappa MadabhaviMitul ModiWe reviewed the various physical signs of chronic obstructive pulmonary disease, their pathogenesis, and clinical importance. We searched PubMed, EMBASE, and the CINAHL from inception to March 2018. We used the following search terms: chronic obstructive pulmonary disease, physical examination, purse-lip breathing, breath sound intensity, forced expiratory time, abdominal paradox, Hoover's sign, barrel-shaped chest, accessory muscle use, etc. All types of studies were chosen. Globally, history taking and clinical examination of the patients is on the wane. One reason can be a significant development in the field of medical technology, resulting in overreliance on sophisticated diagnostic machines, investigative procedures, and medical tests as first-line modalities of patient's management. In resource-constrained countries, detailed history taking and physical examination should be emphasized as one of the important modalities in patient's diagnosis and management. Declining bedside skills and clinical aptitude among the physician is indeed a concern nowadays. Physical diagnosis of chronic obstructive pulmonary disease (COPD) is the quickest and reliable modalities that can lead to early diagnosis and management of COPD patients. Bedside elicitation of physical signs should always be the starting point for any diagnosis and therapeutic approach.http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=1;spage=38;epage=47;aulast=SarkarAccessory muscle usebarrel-shaped chestchronic obstructive pulmonary diseaseHoover's signphysical examinationpurse-lip breathing |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Malay Sarkar Rajeev Bhardwaz Irappa Madabhavi Mitul Modi |
spellingShingle |
Malay Sarkar Rajeev Bhardwaz Irappa Madabhavi Mitul Modi Physical signs in patients with chronic obstructive pulmonary disease Lung India Accessory muscle use barrel-shaped chest chronic obstructive pulmonary disease Hoover's sign physical examination purse-lip breathing |
author_facet |
Malay Sarkar Rajeev Bhardwaz Irappa Madabhavi Mitul Modi |
author_sort |
Malay Sarkar |
title |
Physical signs in patients with chronic obstructive pulmonary disease |
title_short |
Physical signs in patients with chronic obstructive pulmonary disease |
title_full |
Physical signs in patients with chronic obstructive pulmonary disease |
title_fullStr |
Physical signs in patients with chronic obstructive pulmonary disease |
title_full_unstemmed |
Physical signs in patients with chronic obstructive pulmonary disease |
title_sort |
physical signs in patients with chronic obstructive pulmonary disease |
publisher |
Wolters Kluwer Medknow Publications |
series |
Lung India |
issn |
0970-2113 0974-598X |
publishDate |
2019-01-01 |
description |
We reviewed the various physical signs of chronic obstructive pulmonary disease, their pathogenesis, and clinical importance. We searched PubMed, EMBASE, and the CINAHL from inception to March 2018. We used the following search terms: chronic obstructive pulmonary disease, physical examination, purse-lip breathing, breath sound intensity, forced expiratory time, abdominal paradox, Hoover's sign, barrel-shaped chest, accessory muscle use, etc. All types of studies were chosen. Globally, history taking and clinical examination of the patients is on the wane. One reason can be a significant development in the field of medical technology, resulting in overreliance on sophisticated diagnostic machines, investigative procedures, and medical tests as first-line modalities of patient's management. In resource-constrained countries, detailed history taking and physical examination should be emphasized as one of the important modalities in patient's diagnosis and management. Declining bedside skills and clinical aptitude among the physician is indeed a concern nowadays. Physical diagnosis of chronic obstructive pulmonary disease (COPD) is the quickest and reliable modalities that can lead to early diagnosis and management of COPD patients. Bedside elicitation of physical signs should always be the starting point for any diagnosis and therapeutic approach. |
topic |
Accessory muscle use barrel-shaped chest chronic obstructive pulmonary disease Hoover's sign physical examination purse-lip breathing |
url |
http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=1;spage=38;epage=47;aulast=Sarkar |
work_keys_str_mv |
AT malaysarkar physicalsignsinpatientswithchronicobstructivepulmonarydisease AT rajeevbhardwaz physicalsignsinpatientswithchronicobstructivepulmonarydisease AT irappamadabhavi physicalsignsinpatientswithchronicobstructivepulmonarydisease AT mitulmodi physicalsignsinpatientswithchronicobstructivepulmonarydisease |
_version_ |
1725284800087982080 |