Chest Osce Flashcards

1
Q

COPD characters

A

Protruded sternum
Protruded vc
Wide subcostal angle
Wide ribs

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2
Q

Normal rate of resp

A

12-16

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3
Q

Abdominal psradox

A

Abdomen moves inward with inspiration in disphragmatic paralysis

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4
Q

Mention causes of thoracic only resp

A

Abdominal mass
Ascites
Cholecystitis
Diaphragmatic paralysis

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5
Q

Mention causes of abdominal only resp

A

Paralysis of intercostal muscles
Fracture rib
Parenchymal lung dx
Pleyral dx
Copd

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6
Q

What causes pectus excavtum

A

Shoe maker

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7
Q

How to differentiate by accessory muscles used in expiration and inspiration

A

If inspi groove intercostal , ala nasai outdrown
If exp close lips during exp , sitting

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8
Q

Trails sign

A

Sternomastoid on side of tracheal shift with deep inspiration

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9
Q

Mention tvf breathing

A

bronchial breathing

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10
Q

Who is of increase the TVF

A

Consolidation, cavity, collapse

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11
Q

What decreases TVF bilateral

A

COPD

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12
Q

Mention what decreases TF unilateral

A

Water, air, fibrosis

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13
Q

Causes of ptosed liver

A

Cobd
Rt pneumothorax
Viscerotosis

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14
Q

Who is this of resonant beer area?

A

COPD, left pneumothorax

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15
Q

Exception for percussion

A

Kronig isthmus

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16
Q

Causes of lung dullnes in traups area

A

Left pleral effusion

17
Q

Comment on the breathing in case of COPD

A

Vesicular breathing with prolonged expiration and wheezes

18
Q

Causes of dull kronigs area or clacicle

A
19
Q

Broncial breathing normal and abnormal

A

Spine of t2 body of t4

20
Q

Despine sign

A

Whispering at second spine or body of T4, in case of hier lymphadenopathy in malignancy or to tuberculosis

21
Q

Mention onset of cough

A

Acute < 3 weeks
Chronic > 8 weeks

22
Q

How to diagnose, chronic bronchitis

A

Cough, cough, cough, and expectorations three months per year for two successive years

23
Q

Watery Friday, pink secretion frothy

A

Acute pulmonary idiom

24
Q

White grey viscid

A

Asthma
Chronic bronchitis

25
Q

Rusty sputum

A

Pneumoccoal pneumonia

26
Q

Anchovy sauce

A

Amebic abscess

27
Q

How to differentiate between acute bronchitis or chronic bronchitis, COPD

A

By Putin, if the sputum is white grey biscuit, so it is chronic, if this sputum yellowish or greenish so it is acute bronchitis

28
Q

Differential diagnosis of purulent and sputum

A
29
Q

Why asythma become chronic inspite it is intermittent

A

Due to remodeling