Chest

Question 1

List symptoms of chest .

Answer 1

CHEST : Couph, Haemoptysis, Expectoration, S.O.B.(dyspnea), T(Wheeze).
3C : Constitutional manifestations, Cyanosis, SVC.(Cor-pulmonale).
3P : Pain, Pressure manifestations.

Question 2

Enumerate characters of couph .

Answer 2

• Brassy : metallic sound by tracheal causes.
• Bovine : hollow “ Lt RLN paralysis “.
• Barking : hysterical.
• Paroxysmal : in attacks as whooping couph, cavity syndrome.

Question 3

Mention local chest examination

Answer 3

• Inspection: (6) SMS TP+ Litten’s Shape of the chest, Respiratory Movement, Skin leisons, Trachea (Trill’s sign), Pulsations, Litten’s sign.
• Palpation: (5T)
  Trachea, Tenderness, TVF, Palpable wheeze تزييق, Expansion تمدد.
• Percussion: (4)
  Lung proper, bare area, traub’s area, krong’s isthmus.
• Auscultation: (3)
  Breath sounds, Adventitious sounds, vocal resonance

Question 4

Complications of chronic cough.

Answer 4

• Thoracic :
  • Muscle (chest) pain.
  • Fracture rib (stress fracture).
  • Pneumothorax. • Emphysema.
  • Haemoptysis .
• Etra thoracic :
  • Eye puffiness, Sub-arachnoid Hg.
  • Sub-conjunctival haemorrhage.
  • Hernia. • Prolapse.