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
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
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
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
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
6
Q
Physical Exam Findings: Fibrosis
- Inspection
- Palpation
- Percussion
- Auscultation
A
- Inspection – Clubbing
- Palpation
- Percussion
- Auscultation – Crackles, usually bilaterally