Some things you look for at the bed side
Sputum pot, inhalers, nebuliser
What might cause wasting of the intrinsic muscles
T1 nerve invasion by an apical lung cancer
Cause of a fine tremor
Beta agonists eg. Salbutamol
Flapping asterixis is seen when
Bounding pulse could mean
When is pulses paradoxus seen
Sever obstructive airways disease and cardiac tamponade
What is cardiac tamponade
Effusion in the pericardium
Raised JVP indicates
Raised non pulsatile JVP seen when?
What other features
Superior vena cava obstruction due to lung cancer
Oedema of the face and neck
What is horner’s syndrome?
Damage to the sympathetic trunk
Miosis (constricted pupil), ptosis (a weak, droopy eyelid), apparent anhidrosis (decreased sweating), with or without enophthalmus (inset eyeball).
What is chemosis
Possibly due to
Hypercapnia 2* to COPD
Facial swelling is seen in
Which way does the trachea deviate with pathology ? Eg. Of each
Towards pulmonary fibrosis or collapse
Away from effusion or tension pneumothorax
When would tactile vocal femitus be increased? Decreased?
Consolidation (sound travels quicker through solid)
Effusion / pneumothorax
Lungs hyper resonant ?
Consolidation / effusion
When would you hear corse crackles?
Consolidation / oedema