<prompt> Answer this question truthfullyWhat is the physical examination procedure for diagnosing bronchiolitis in adult patients?  <response>: <reason> Patients with adult bronchiolitis usually appear lethargic. Physical examination of patients with adult bronchiolitis is usually remarkable for bilateral basilar lung crackles, tachypnea, wheezing and sometimes, a low grade fever. Lethargic and faitgueLow-grade fever Tachypnea Shallow breathingCyanosis Evidence of mineral dust or other material staining the skinUsually normal HEENT examination Facial tenderness if experiencing sinusitisFine crackles upon auscultation of the lung bases unilaterally or bilaterally Rhonchi Bronchial breathing Expiratory wheezing with delayed expiratory phase Wheezing may be present Fine rales May use accessory muscles to breatheClubbing Cyanosis 