Pulmonary Disease

Question 1

What are the Physical exam findings for Asthma/COPD?

Answer 1

I: pursed lip breathing and barrel chest

P: decreased fremitus bilaterally (less vibration)

P: Hyperresonance bilaterally (too much air)

A: wheezing or rhonchi bilaterally

Question 2

What are the physical exam findings for Pneumothorax?

Answer 2

I: Hyperinflation of ipsilateral hemithorax

P: subcutaneous crepitus

Ipsilateral side - decreased movement on breath in, decreased fremitus,

Contralateral side - tracheal shift

P: hyperresonance of ipsilateral side

A: decreases BD over ipsilateral side

Question 3

What are the physical exam findings for Pleural Effusion?

Answer 3

P: Ipsilateral - decreased movement on inspiration, decreased or absent fremitus,

contralateral tracheal shift

P: Dull of FLAT! over ipsilateral hemithorax

A: decreased BC over ipsilateral; occasional friction rub

Question 4

What are the physical exam findings for lung consolidation?

Answer 4

P: Increased fremitus over consolidated area

P: DULL over area

A: over area hear bronchial breath sounds, egophony and whispered pectoriloquot

Question 5

What are PE findings for Bronchial obstruction with atelectasis?

Answer 5

P: Ipsilateral - decreased movement with inspiration, SAME SIDE tracheal shift and decreased fremitus

P: DULL over ipsilateral hemothorax

A: decreased breath sounds over ipsilateral hemithorax

Question 6

Physical exam findings of clubbing?

Answer 6

Crackles

Question 7

What 2 diagnoses use imaging to be made? (all the rest of imaging suggestive of disease process but not diagnostic)

Answer 7

Embolus

pneumothorax