Resp Disorders - Exam Findings

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Author:
SP123
ID:
12986
Filename:
Resp Disorders - Exam Findings
Updated:
2010-04-03 20:07:38
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Resp exam findings MSI
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Resp. exam findings - MSI
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  1. COPD
    • Inspection: barrel chest, cyanosis, tripod position, use of accessory muscles
    • Palpation: decreased movement
    • Percussion: hyperresonant (dull if consolidated)
    • Auscultation: crackles, rhonchi, wheezes, distant breath sounds
  2. Pneumonia
    • Inspection: tachypnea, use of accessory muscles, duskiness or cyanosis
    • Palpation: increased fremitus over affected area (fluid)
    • Percussion: dull over affected areas (consolidation)
    • Auscultation: bronchial sounds (early); crackles, rhonchi/rales, egophony, whispered pectoriloquy (later)
  3. Atelectasis
    • Inspection: no change unless involves entire segment/lobe
    • Palpation: increased fremitus, decreased movement
    • Percussion: dull over affected areas
    • Auscultation: crackles (may disappear with deep breaths), absent sounds if large
  4. Pulmonary edema
    • Inspection: tachypnea, labored respirations, cyanosis
    • Palpation: decreased movement or normal movement
    • Percussion: dull or normal depending on amount of fluid
    • Auscultation: fine or coarse crackles at bases moving upward as condition worsens
  5. Pleural effusion
    • Inspection: tachypnea, use of accessory muscles
    • Palpation: increased movement, increased fremitus above effusion, absent fremitus over effusion
    • Percussion: dull
    • Auscultation: diminished or absent over effusion, egophony over effusion
  6. Pneumothorax
    • Palpation: decreased fremitus
    • Percussion: hyperresonant
    • Auscultation: absent breath sounds
  7. Pulmonary fibrosis
    • Inspection: tachypnea
    • Palpation: decreased movement
    • Percussion: normal
    • Auscultation: crackles, rales
  8. Asthma - in exacerbation
    • Inspection: prolonged expiration, tripod position, pursed lips
    • Palpation: decreased movement
    • Percussion: hyperresonant
    • Auscultation: wheezes, decreased breath sounds

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