34. Lung—physical findings Flashcards Preview

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Flashcards in 34. Lung—physical findings Deck (33):
1

Pleural effusion breath sounds

decreased

2

pleural effusion precusion

dull

3

pleural effusion fremitus

decreased

4

pleural effusion - tracheal

normal or away from side of lession (if large)

5

atelectasis breath sounds

decreased

6

atelectasis precusion

dull

7

atelectasis fremitus

decreased

8

atelectasis tracheal

towards side of lession

9

simple pneumothorax breath sounds

decreased

10

simple pneumothorax precussion

hyperresonant

11

simple pneumothorax fremitus

decreased

12

simple pneumothorax tracheal

normal

13

tension pneumothorax breath sounds

decreased

14

tension pneumothorax percusion

hyperresonant

15

tension pneumothorax fremitus

decreased

16

tension pneumothorax trachea

away from side of lesion

17

consodilation (lobar pneumonia pulmonary edema) - beath sounds

bronchial breath sounds
late inspiratory crackles

18

consodilation (lobar pneumonia pulmonary edema) percussion

dull

19

consodilation (lobar pneumonia pulmonary edema)

increased

20

consodilation (lobar pneumonia pulmonary edema) -tracheal

normal

21

abnormal trachea

1. pleural effusion (if large) --> awway from lession
2. tension pneumothorax --> away from lession
3. atelectasis --. toward to lesion

22

increased fremitus

consodilation pneumonia

23

hyperresonant percussion

1. simple pneumothorax
2. tension pneumothorax

24

• A patient has dyspnea, decreased right breath sounds, dullness to percussion, and decreased tactile fremitus. What is the likely diagnosis?


Pleural effusion

25


• A patient has crackles on the right with dullness to percussion and no tactile fremitus. Would there be tracheal deviation?

Yes, as there will be deviation away from the side of the lesion if the effusion is large (this is a pleural effusion on the right)

26

• A patient has decreased breath sounds on the right, dullness to percussion, and tracheal deviation to the right. What does he have?

Atelectasis (bronchial obstruction) on the right

27

• What are the physical exam findings in a patient with atelectasis (bronchial obstruction)?

Decreased breath sounds, dullness to percussion, decreased fremitus, tracheal deviation toward the side of the lesion

28

• A patient has dyspnea, hyperresonance, decreased breath sounds on the left, and tactile fremitus. Is there tracheal deviation?

There is no tracheal deviation (this patient has a simple pneumothorax)

29

• A man has dyspnea, absent right breath sounds, hyperresonance, and tracheal deviation to the left. How will fremitus be affected?

Fremitus will decrease (this patient has a tension pneumothorax)

30

• A patient has fever, dyspnea, right bronchial breath sounds, dullness to percussion, and increased tactile fremitus. Likely diagnosis?

Lobar pneumonia

31

• A patient has fever, bronchial breath sounds, dullness to percussion, and increased fremitus. Is there tracheal deviation?

No tracheal deviation, as with pulmonary edema and simple pneumothorax (this patient has lobar pneumonia)

32

• Pleural effusion and tension pneumothorax have tracheal deviation ____ (away from/toward) the side of the lesion.

Away from

33

• Atelectasis (from bronchial obstruction) has tracheal deviation ____ (away from/toward) the side of the lesion.

Toward