Flashcards in 34. Lung—physical findings Deck (33):
Pleural effusion breath sounds
pleural effusion precusion
pleural effusion fremitus
pleural effusion - tracheal
normal or away from side of lession (if large)
atelectasis breath sounds
towards side of lession
simple pneumothorax breath sounds
simple pneumothorax precussion
simple pneumothorax fremitus
simple pneumothorax tracheal
tension pneumothorax breath sounds
tension pneumothorax percusion
tension pneumothorax fremitus
tension pneumothorax trachea
away from side of lesion
consodilation (lobar pneumonia pulmonary edema) - beath sounds
bronchial breath sounds
late inspiratory crackles
consodilation (lobar pneumonia pulmonary edema) percussion
consodilation (lobar pneumonia pulmonary edema)
consodilation (lobar pneumonia pulmonary edema) -tracheal
1. pleural effusion (if large) --> awway from lession
2. tension pneumothorax --> away from lession
3. atelectasis --. toward to lesion
1. simple pneumothorax
2. tension pneumothorax
• A patient has dyspnea, decreased right breath sounds, dullness to percussion, and decreased tactile fremitus. What is the likely diagnosis?
• 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)
• 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
• 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
• 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)
• 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)
• A patient has fever, dyspnea, right bronchial breath sounds, dullness to percussion, and increased tactile fremitus. Likely diagnosis?
• 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)
• Pleural effusion and tension pneumothorax have tracheal deviation ____ (away from/toward) the side of the lesion.