22) Clinical Signs of Respiratory Disease Flashcards
What conditions cause tracheal shift away from the abnormality?
Pleural effusion
Tension pneumothorax
What conditions cause tracheal shift towards the abnormality?
Localised fibrosis (healed TB) Lobar/lung collapse
What conditions have normal resonance on percussion?
COPD
Diffuse lung fibrosis (ILD) (bilateral)
What conditions have normal or dull resonance on percussion?
Localised lung fibrosis
Lobar/lung collapse
What condition has stony dull resonance on percussion?
Pleural effusion
What conditions have dull resonance on percussion?
Consolidation
Tumour
What condition has hyper-resonance on percussion?
Pneumothorax
What conditions give reduced chest movements on affected side?
Pneumonia
Pneumothorax
Pleural effusion
Lobar collapse
What conditions give reduced chest movements on both sides?
Stiff lungs (ILD) Hyperinflated (COPD)
What different breath sounds can be heard?
Vesicular breathing
Bronchial breath sounds
Reduced intensity/absence
What conditions can cause bronchial breath sounds?
Consolidation (lobar pneumonia)
What conditions cause decreased intensity in breath sounds?
Pleural effusion
Pneumothorax
Lobar/lung collapse
What breath sounds can be heard in fibrosis?
Vesicular with crackles
What breath sounds can be heard in COPD?
Vesicular, with wheeze and prolonged expiration
When is vocal resonance increased?
In bronchial breathing
