Flashcards
Respiratory Exam Test 1
Cards in this deck (9)
- 1Palpation: Central trachea Chest expansion L>R Percussion: Dull in one part on right Auscultation: Bronchial Breath Sounds (medium, late or pan-inspiratory crackles) Increased VRRight-sided Consolidation
Causes?
Pneumonia, Dense fibrosis, Abscess, Carcinoma - 2Palpation: Tracheal deviation to right; chest expansion R>L Percussion: Dull Auscultation: Reduced breath sounds. Vocal resonance reduced.Left-sided Pleural effusion.
Causes?
Transudate eg. Cardiac Failure
Exudate eg. Pneumonia, Malignancy
Special findings for Effusion: stony dull percussion; reduced breath sounds and VR (compared to consolidation, which also has dull percussion) - 3Palpation: Tracheal deviation to left. Chest expansion R>L Percussion: Dull on left Auscultation: Reduced on left. Increased VR.Left-sided collapse
eg. Atelectasis, Pneumonectomy - 4Notice some clubbing and cyanosis. Palpation: Trachea midline Reduced chest expansion bilaterally Percussion: Neutral Auscultation: Bronchial Crepitations: fine end inspiratory or pan-inspiratory (maybe)Bilateral pulmonary fibrosis
Causes:
Idiopathic pulmonary fibrosis (aka Cryptogenic fibrosing alveolitis (CFA)); RA; Lupus; Ankylosing Spondylitis; Asbestosis; Silicosis - 5Palpation: Trachea deviated to the left Chest expansion L>R Percussion: Hyper-resonant Auscultation: Reduced on leftRight-sided Tension Pneumothorax
Causes:
Spontaneous!
Rib, Marfan's, Bullous rupture - 6Notice a scar. Palpation: Deviated to the right. Chest expansion L>R Percussion Dull on right. Auscultation: Breath sounds reduced on the right.Right-sided Pneumonectomy
Most commonly due to Carcinoma. - 7Clubbing. Palpation: Trachea midline Reduced chest expansion (bilateral) Percussion: Auscultation: Mixed crackles +/- wheeze (Coarse pan-inspiratory or late inspiratory crackles)Bronchiectasis/Cystic Fibrosis
Other causes:
Allergic bronchopulmonary aspergillosis
Look for sputum cup! - 8Palpation: Trachea midline Hyperexpanded chest Reduced chest expansion bilaterally Percussion: Hyperresonance Auscultation: Reduced +/- wheezeCOPD
Causes:
Smoking, Alpha-1 anti-trypsin deficiency - 9Cachexia Palpation: Reduced chest expansion Percussion: Dull Auscultation: Crackles Maybe bronchial; maybe reducedLung cancer (unlikely in OSCE?)
Trachea towards collapse
Trachea away from effusion
Breath sounds: bronchial (consolidation); reduced (effusion)
Information
- Description
- Flashcards on Respiratory Exam Test 1, created by DSCOgnenis on 04/08/2013.
- Created by
- DSCOgnenis · Aug 2013
- Updated
- Mar 16, 2016
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