Lung Physical Exam

Question 1

Pleural Effusion

Answer 1

• dec breath sounds
• dull to percussion
• dec fremitus
• trachea deviates away from lesion if large enough effusion

Question 2

Atelectasis

Answer 2

• dec breath sounds (bronchial obstruction so no air thru)
• dull to percussion (no air)
• dec fremitus
• trachea towards side of lesion

Question 3

Simple Pneumothorax

Answer 3

AKA rupture of bleb or cyst

• dec breath sounds
• hyper-resonant (extra air)
• dec fremitus
• trachea does not deviate

Question 4

Tension Pneumothorax

Answer 4

Air into pleural space that cannot get out

• dec breath sounds
• hyper-resonant (extra air)
• dec fremitus
• trachea away from lesion

Question 5

Consolidation

Answer 5

Pneumonia or pulmonary edema

• bronchial breath sounds, late inspiratory crackles, egophony, bronchophony, whispered pectoriloquy
• dull to percussion
• inc fremitus
• no tracheal deviation