Signs And Symptoms Flashcards
What is orthopnea?
Shortness of breath when lying flat.
What does cyanosis indicate?
Hypoxia
What is central cyanosis?
Bluing of the tongue or lips
What is peripheral cyanosis?
Cyanosis found on the peripheries, hands feet nose.
What does cyanosis indicate?
Cardiovascular collapse
Peripheral vascular disease
What is a co2 flap caused by?
Hypercapnic encephalopathy
What is a co2 flap?
Irregular flapping of the hand when the wrist is hyperextended.
What is co2 flap seen in?
COPD
What is erythema nodosum?
Inflammatory condition of fat cells under the skin.
Tender red nodules or lumps seen on both shins.
In what conditions is erythema nodosum seen?
Ssarcoidosis
TB
What is lupus perneo?
Chronic raised indurated leasion of the skin- often purplish.
Seen on the nose, ears, cheeks, lips and forehead.
In what disease is lupus perneo seen?
Sarcoidosis
What is finger clubbing?
Increases curvature and loss of nail bed angle.
What are the causes of finger clubbing?
Bronchial carcinoma Fibrosing alveolitus Lung suppuration Cyanotic congenital heart disease Infective endocarditis Malabsorption states Congenital and ideopathic causes too.
What is uveitis?
Group of inflammatory diseases that produce swelling and destroys eye tissue.
What are the signs of uveitis?
Dilated retinal veins/ papillidoedema
In what diseases is uveitis seen?
Sarcoidosis
TB
What is horners syndrome?
Small pupil
Ptosis (dropping/ falling of upper eyelid)
Endophthalmos (inflammation of the interior of the eye)
Unilateral loss of sweating
What causes horners syndrome?
Interruption of the cervical chain
- Pancoasts tumour
- cervical lymphadenopathy
What the lymph nodes in the neck?
Supra clavicular Cervical chain Sub mental and sub mandibular Parotid Post auricular Occipital
What is cor pulmonale?
Right sided heart disease
What are the signs of cor pulmonale?
Cyanosis Raises JVP Pitting oedema Parasternal heave Loud P2
Upon chest inspection, which deformities are being looked for?
Kyphoscoliosis
Pectus excavatum
Hyperinflation (emphysema)
Thoracoplasty
Upon inspection of the chest, what is looked for?
Any deformities Scars Expansion Respiratory movement Superior vena cava obstruction
Upon palpitation, what would tracheal deviation show?
Towards lung collapse
Towards consolidation
Away from effusion
Upon auscultation what do crepatations show?
Surgical emphysema
Chest wall trauma
Iatrogenic (chest drains)
Ruptured oesophagus
What would reduced chest expansion indicates?
Unilateral pneumothorax
Effusion, blocked central bronchus, diaphragm palsy
Bilateral- restrictive lung disease, hyperinflation (emphysema)
Hyper resonant percussion indicates what?
Emphysema or pneumothorax
Impaired reasonance upon percussion indicates what?
Consolidation
Pleural thickening
Raised hemi-diaphragm
What does stony dull percussion indicate?
PE
When is the bell used?
For low pitched sounds
When is the diaphragm used?
For high pitched sounds.
What does vesicular chest sounds mean?
Normal
What is aegophony?
Increases resonance of vocal sounds when ascaltating the lungs.
Get patient to say 99
What is a wheeze?
A musical sound as air passes through narrowed airways.
What does a localised wheeze indicate?
Large airway tumour
What does a generalised wheeze indicate?
Small airway obstruction (asthma bronchitis)
What do squeaks and crackles indicate?
Bronchiolitus
What are crackles (crepatations)?
Non musicals- usually on inspiration. Due to explosive reopening of small airways blocked by exudate inflammation or fibrosis.
What do fine crackles indicate?
Pulmonary fibrosis
What do moderate crackles show?
PE
Consilidation
Bronchiectasis
What is a pleural rub?
Leathery creaking sounds made by inflamed pleural surfaces rubbing together.
What does plural rub indicate?
Pneumonia
PE
Viral or auto immune pleurisy
What does a pleural click indicate?
Pneumothorax
What reduced vocal resonance?
Effusion Collapse Bronchial occlusion Pneumothorax Emphysema
What increases vocal resonance?
Consolidation (transmitted) - pneumonia
What is whispering pectoriloquy?
Transmitted
Consolidation without bronchial obstruction