Usually, patients with acute viral nasopharyngitis appear ill. Physical examination of patients with acute viral nasopharyngitis is usually remarkable for runny nose, hyperemic nasal mucosa, and mild cervical lymphadenopathy.

The common cold is defined as nose inflammation along with various degrees of pharynx inflammation.^[1]

Patient usually appears ill.

• Fever is not usually present. Fever points more toward influenza than acute viral nasopharyngitis.

• Blood pressure usually remains within normal limits.

• Pulse may be normal or increased due to infection.

• Tachypnea may be present.

• Conjunctivae may be congested, with tearing of both eyes.

• Tenderness of sinuses may be elicited if sinusitis is present.
• Non tender cervical lymphadenopathy

• Nasal mucosa is usually red and hyperemic.
• Discharge may be in various colors, from yellow to green. However, the color of discharge is not indicative of the etiologic organism.^[1]

• The pharynx usually is normal on inspection. However, local inflammation is a consequence of disease progression.^[2]

• Lungs are typically clear to auscultation.
• Crackles and rhonchi may be heard if disease complicated by lower respiratory tract infection and pneumonia.