Chest Local Examination - Palpation

Question 1

Chest Palpation

• Items

Answer 1

Question 2

Superficial Palpation

• Causes of Chest Wall Tenderness

Answer 2

Question 3

Superficial Palpation

• How to Examine?

Answer 3

Question 4

Findings of superficial palpation in Chest

Answer 4

Question 5

Examination of Trachea

• Normal Length

Answer 5

Question 6

Examination of Trachea

• Normal Mobility

Answer 6

Question 6

Examination of Trachea

• Normal Position

Answer 6

Question 7

Examination of Trachea

• Normal Diameter

Answer 7

Question 8

Examination of Trachea

• How to Examine Position?

Answer 8

Question 9

Causes of Tracheal Shift

Answer 9

Question 10

Causes of Tracheal Shift

• Tracheal Shift to the same side

Answer 10

Question 11

Causes of Tracheal Shift

• Tracheal shift to the other side

Answer 11

Question 12

Causes of tracheal shift without apex shift

Answer 12

Question 13

Causes of apex shift alone

Answer 13

Question 14

Displacement of the trachea

Answer 14

Question 15

How to examine mobility from side to side?

Answer 15

Moving the trachea by the index and thumb finger from side to side.

Question 16

Causes of Fixed trachea

Answer 16

• Malignant tumour or LN infiltrating the trachea.
• Fibrosing mediastinitis.

Question 17

How to examine mobility with deglutition?

Answer 17

Question 18

Causes of immobile trachea with deglutition

Answer 18

Oesophageal carcinoma infiltrating the trachea.

Question 19

Def of Tracheal Tug

Answer 19

Tracheal descent with either systole or inspiration.

Question 20

Types of Tracheal Tug

Answer 20

Question 21

Def of Oliver’s Sign

Answer 21

Downward descent of the trachea with each ventricular contraction

Question 22

Cause of Oliver’s Sign

Answer 22

Aortic arch aneurysm

Question 23

Mechanism of Oliver’s Sign

Answer 23

Question 24

Def of **Campbell's Signs**

Answer 24

Downward inspiratory descent of the trachea >2.5 Cm.

Question 25

Cause of **Campbell's Signs**

Answer 25

COPD

Question 26

Mechanism of **Campbell's Signs**

Answer 26

Question 27

Examination of **Tracheal Tug**

Answer 27

Question 28

Cause of **Cardarelli's Sign**

Answer 28

aortic arch aneurysm

Question 29

How to Examine **Cardarelli's Sign**?

Question 30

**Chest Movement (Expansion)** - Normal Examination

Answer 30

Question 31

**Chest Movement (Expansion)** - Other Methods

Answer 31

Question 32

**Chest Movement (Expansion)** - Upper Chest Exapnsion

Answer 32

Question 33

**Chest Movement (Expansion)** - Lower Chest Expansion

Answer 33

Question 34

**Chest Movement (Expansion)** - Apical Chest Expansion

Answer 34

Question 35

**Chest Movement (Expansion)** - lower Chest Expansion of the Back

Answer 35

Question 36

What is **TVF**?

Answer 36

Question 37

Def of **TVF**

Answer 37

it is the palpable vibration of the vocal cords felt at the chest wall by the examiner's hand when the patient says 4,4 in Arabic or 99 in English.

Question 38

How to Examine **TVF**?

Answer 38

Question 39

Normal **TVF**

Answer 39

Question 40

Causes of Increased **TVF**

Answer 40

Question 41

Causes of Decreased **TVF**

Answer 41

Question 42

Palpable Ronchi / Palpabe Rub

Answer 42

Question 43

Causes of palpable rhonchi

Answer 43

Question 44

Causes of palpable friction

Answer 44

Pleurisy (chronic > acute)

Question 45

§Chest Palpation - Epigastric pulsation

Answer 45

Question 46

Chest Palpation - Other Pulsations

Answer 46

Question 47

Chest Pulsations - Lt Parasternal

Answer 47

Right ventricular hypertrophy

Question 48

Chest Pulsations - Lt 2nd Space

Answer 48

Pulmonary artery dilatation

Question 49

Chest Pulsations - Rt 2nd Space

Answer 49

Ascending aorta dilatation

Question 50

Chest Pulsations - Suprasternal

Answer 50

- Hyperdynamic circulation. - High arch of the aorta. - Aortic aneurysm.