Lecture 52 - Approach to Pts with Pulmonary Disease Flashcards

1
Q

Physical Exam Findings: Asthma/COPD

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection –Pursed Lip breathing, barrel chest
  • Palpation - Decreased fremitus
  • Percussion - Hyper resonance
  • Auscultation – wheezing or rhonchi bilaterally
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2
Q

Physical Exam Findings: Pneumothorax

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection - ipsilateral hyperinflation
  • Palpation - ipsilateral decreased movement and decreased fremitus; contralateral tracheal deviation, subcutaneous crepitus
  • Percussion – Hyperresonance on ipsilateral
  • Auscultation – Decreased BS over ipsilateral hemithorax
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3
Q

Physical Exam Findings: Pleural Effusion

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection –
  • Palpation – ipsilateral decreased movement; ipsilateral decreased or absent fremitus, contralateral tracheal shift
  • Percussion – dull or FLAT on ipsilateral
  • Auscultation – decreased BS over ipsilateral side; occasional pleural rub
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4
Q

Physical Exam Findings: Lung consolidation

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection — N/A
  • Palpation – Increased fremitus over areas of consolidation
  • Percussion — DULL over consolidated areas
  • Auscultation – Bronchial Breath sounds, egophony and whispered pectoriloquy over consolidated areas
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5
Q

Physical Exam Findings: Bronchial Obstruction (with atelectasis)

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection
  • Palpation – decreased ipsilateral movement; ipsilateral tracheal shift; ipsilateral decreased fremitus
  • Percussion - DULL
  • Auscultation – decreased BS over ipsilateral
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6
Q

Physical Exam Findings: Fibrosis

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
A
  • Inspection – Clubbing
  • Palpation
  • Percussion
  • Auscultation – Crackles, usually bilaterally
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