Pulm Findings

Question 1

Pleural rub sound cause

Answer 1

inflamed visceral and parietal pleura rubbing during inspiration

Question 2

Dahl’s sign

cause

Dz association

Answer 2

Above knee, patches of hyperpigmentation or bruising

Constantly resting hands/elbows to improve mechanical advantage

COPD and emphysema

Question 3

Dextrocardia

Answer 3

Chronic respiratory symptoms, consider Kartegener’s syndrome

Bronchiectasis, sinusitis, infertility, situs invertus (MT defect)

Question 4

Lupus pernio (sarcoid)

Occur after

Associated with

Answer 4

Multiple papular and nodular red-violet lesions involving the central face

After treatment

Respiratory tract involvement

Question 5

Pectus Excavatum

Answer 5

Depressed sternum, can produce restrictive thoracic impairment, SOB, cardiomegaly

Question 6

Paradoxical breathing

Vs low cervical spinal cord injury

Answer 6

Dyssynchronous movement of chest and abdomen (bilateral diaphragmatic paralysis)

diaphragm contracts but chest wall moves inward due to denervation

Question 7

Stridor

Correlates with

Answer 7

ausulatory inspiratory squeaks and or rhonchi heard over trachea

Narrowing of airway above thoracic outlet (laryngeal edema)

Question 8

Tracheal shift
assessed above

Volume loss toward shift

inc intrapleural presure on side away from shift

Answer 8

Suprasternal notch

atelectasis, resection, tumor

PTX, PE, hemothorax