Resp Exam Signs Flashcards
Cyanosis
Poor circulation
- peripheral vasoconstriction (hypovolaemia)
Inadequate oxygenation of blood
- L-R cardiac shunting
SOB
- asthma
- pulmonary oedema
- pulmonary fibrosis
- LC
- COPD
Cough
Productive
- pneumonia
- bronchiectasis
- COPD
- CF
Dry
- asthma
- ILD
Pallor
Anaemia
- haemorrhage
- chronic disease
Poor perfusion
- CHF
Cachexia
Malignancy (LC)
ESRD (COPD)
Cyanosis
Hypoxaemia
Tar staining
Smoking
- COPD
- LC
Bruising/thinning of skin
Long-term steroid use
- asthma
- COPD
- ILD
Joint swelling/deformity
RA
- pleural effusions
- pulmonary fibrosis
Clubbing (loss of Schamroth’s window)
- LC
- ILD
- CF
- bronchiectasis
Fine tremor
B2-agonist (salbutamol)
Asterixis
CO2 retention
T2RF
- COPD
Metabolic
- uraemia
- hepatic encephalopathy
Bounding pulse
CO2 retention (T2RF)
Pulsus paradoxus
(pulse wave volume decreases during inspiratory phase)
- cardiac tamponade
- severe acute asthma
- severe COPD exacerbation
Prolonged expiratory phase
- COPD
- asthma exacerbation
Bradypnoea
Opiate overdose
Tachypnoea
- Acute asthma
- Respiratory compensation of metabolic disease
- anxiety
Raised JVP (>3cm above sternal angle)
(IJV medial to SCM, double waveform pulsation)
PHTN
- RHF (COPD, ILD)
= cor pulmonale
- CHF
- Tricuspid regurg
- constrictive pericarditis