159359
Description
Flashcards by DSCOgnenis, updated more than 1 year ago
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Created by DSCOgnenis
over 10 years ago
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| Question | Answer |
| Palpation: Central trachea Chest expansion L>R Percussion: Dull in one part on right Auscultation: Bronchial Breath Sounds (medium, late or pan-inspiratory crackles) Increased VR | Right-sided Consolidation Causes? Pneumonia, Dense fibrosis, Abscess, Carcinoma |
| Palpation: 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) |
| Palpation: Tracheal deviation to left. Chest expansion R>L Percussion: Dull on left Auscultation: Reduced on left. Increased VR. | Left-sided collapse eg. Atelectasis, Pneumonectomy |
| Notice 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 |
| Palpation: Trachea deviated to the left Chest expansion L>R Percussion: Hyper-resonant Auscultation: Reduced on left | Right-sided Tension Pneumothorax Causes: Spontaneous! Rib, Marfan's, Bullous rupture |
| Notice 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. |
| Clubbing. 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! |
| Palpation: Trachea midline Hyperexpanded chest Reduced chest expansion bilaterally Percussion: Hyperresonance Auscultation: Reduced +/- wheeze | COPD Causes: Smoking, Alpha-1 anti-trypsin deficiency |
| Cachexia Palpation: Reduced chest expansion Percussion: Dull Auscultation: Crackles Maybe bronchial; maybe reduced | Lung cancer (unlikely in OSCE?) Trachea towards collapse Trachea away from effusion Breath sounds: bronchial (consolidation); reduced (effusion) |
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