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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...

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Autores principales: Sarkar, Malay, Bhardwaz, Rajeev, Madabhavi, Irappa, Modi, Mitul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330798/
https://www.ncbi.nlm.nih.gov/pubmed/30604704
http://dx.doi.org/10.4103/lungindia.lungindia_145_18
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author Sarkar, Malay
Bhardwaz, Rajeev
Madabhavi, Irappa
Modi, Mitul
author_facet Sarkar, Malay
Bhardwaz, Rajeev
Madabhavi, Irappa
Modi, Mitul
author_sort Sarkar, Malay
collection PubMed
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.
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spelling pubmed-63307982019-04-17 Physical signs in patients with chronic obstructive pulmonary disease Sarkar, Malay Bhardwaz, Rajeev Madabhavi, Irappa Modi, Mitul Lung India Review Article 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. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6330798/ /pubmed/30604704 http://dx.doi.org/10.4103/lungindia.lungindia_145_18 Text en Copyright: © 2018 Indian Chest Society http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Sarkar, Malay
Bhardwaz, Rajeev
Madabhavi, Irappa
Modi, Mitul
Physical signs in patients with chronic obstructive pulmonary disease
title 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_short Physical signs in patients with chronic obstructive pulmonary disease
title_sort physical signs in patients with chronic obstructive pulmonary disease
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330798/
https://www.ncbi.nlm.nih.gov/pubmed/30604704
http://dx.doi.org/10.4103/lungindia.lungindia_145_18
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