Respiratory Flashcards
Examination findings in Asthma
Midline trachea Bilateral decreased chest wall movement Resonant percussion nate Vesicular breath sounds with prolonged expiration Normal or decreased vocal fremitus Expiratory wheezes
Examination findings in COPD
Midline trachea Bilateral decreased chest wall movement Resonant-hyper-resonant percussion note Vesicular-to-decreased breath sounds Decreased vocal fremitus Crackles and wheezes of chronic bronchitis component
Examination findings in lung consolidation - e.g. lobar pneumonia
Midline trachea Chest wall movement may be decreased on affected side Dull percussion note over consolidation Bronchial breath sounds Increased vocal fremitus Fine, late inspiratory crackles
Examination findings in collapse of major bronchus
Trachea toward affected side Reduced chest wall movement on affected side Dull percussion note Decreased or absent breath sounds Decreased or absent vocal fremitus
Examination findigns in collapse of peripheral bronchus
Trachea toward affected side Reduced chest wall movement on affected side Dull percussion note Bronchial breath sounds Increased vocal fremitus
Examination findings in large pleural effusion (>500mL)
Trachea towards opposite side (if massive)
Reduced chest wall movement on affected side
Stony dull percussion note
Absent of decreased breath sounds
Absent or decreased vocal fremitus
Examination findings in large pneumothorax
Trachea towards opposite side (if tension)
Reduced chest wall movement on affected side
Hyper-resonant percussion note
Absent or decreased breath sounds
Absent or decreased vocal fremitus
Examination findings in generalised fibrosis
Midline trachea Bilaterally reduced chest wall movement Normal percussion note (resonant) Vesicular breath sounds Increased vocal fremitus Fine crackles
Examination findings in Bronchiectasis
Midline trachea Slight decrease in chest wall movement Resonant-to-dull percussion note Bronchial breath sounds Normal or decreased vocal fremitus Coarse crackles \+/- localized wheeze
