Updated: 10/16/2016

Pulmonary Physical Findings

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Topic
Review Topic
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Overview
 
Disease
Percussion
Tactile fremitus
Tracheal deviation
Ascultation
Consolidation
(e.g. lobar pneumonia)
Dullness
Yes
--

+ egophony (e to a)

+ whispered pectoriloquy

Pleural effusion
Dullness
No
--
↓ breath sounds over effusion
Bronchial obstruction
Dullness
No
Toward lesion
↓ breath sounds over affected area
Pneumothorax Hyperresonant No Toward lesion (diaphram and trachea fill space left behind when lung collapses) ↓ breath sounds
Tension pneumothorax
Hyperresonant
No
Away from lesion (increased pressure pushes mediastinum to opposite side)
↓ breath sounds
Emphysema Hyperresonant Reduced --

↓ breath sounds

+ wheezing

Asthma Hyperresonant Reduced --

↓ breath sounds

+ wheezing

Atelectasis  Dullness No Towards the lesion  +/- rales
Chronic bronchitis -- -- --

+ rhonchi (low pitched)

+ wheezing

 

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