Chest Osce Flashcards
COPD characters
Protruded sternum
Protruded vc
Wide subcostal angle
Wide ribs
Normal rate of resp
12-16
Abdominal psradox
Abdomen moves inward with inspiration in disphragmatic paralysis
Mention causes of thoracic only resp
Abdominal mass
Ascites
Cholecystitis
Diaphragmatic paralysis
Mention causes of abdominal only resp
Paralysis of intercostal muscles
Fracture rib
Parenchymal lung dx
Pleyral dx
Copd
What causes pectus excavtum
Shoe maker
How to differentiate by accessory muscles used in expiration and inspiration
If inspi groove intercostal , ala nasai outdrown
If exp close lips during exp , sitting
Trails sign
Sternomastoid on side of tracheal shift with deep inspiration
Mention tvf breathing
bronchial breathing
Who is of increase the TVF
Consolidation, cavity, collapse
What decreases TVF bilateral
COPD
Mention what decreases TF unilateral
Water, air, fibrosis
Causes of ptosed liver
Cobd
Rt pneumothorax
Viscerotosis
Who is this of resonant beer area?
COPD, left pneumothorax
Exception for percussion
Kronig isthmus
Causes of lung dullnes in traups area
Left pleral effusion
Comment on the breathing in case of COPD
Vesicular breathing with prolonged expiration and wheezes
Causes of dull kronigs area or clacicle
Broncial breathing normal and abnormal
Spine of t2 body of t4
Despine sign
Whispering at second spine or body of T4, in case of hier lymphadenopathy in malignancy or to tuberculosis
Mention onset of cough
Acute < 3 weeks
Chronic > 8 weeks
How to diagnose, chronic bronchitis
Cough, cough, cough, and expectorations three months per year for two successive years
Watery Friday, pink secretion frothy
Acute pulmonary idiom
White grey viscid
Asthma
Chronic bronchitis
Rusty sputum
Pneumoccoal pneumonia
Anchovy sauce
Amebic abscess
How to differentiate between acute bronchitis or chronic bronchitis, COPD
By Putin, if the sputum is white grey biscuit, so it is chronic, if this sputum yellowish or greenish so it is acute bronchitis
Differential diagnosis of purulent and sputum
Why asythma become chronic inspite it is intermittent
Due to remodeling