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Clinical Assessment
Pulmonary
9
Medical
Graduate
10/04/2009

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Cards

Term
Normal
Definition
Percussion Note:resonant;
Trachea: midline;
Breath Sounds: vesicular, brochovescicular and bronchial over large bronchi and trachea, respectively;
Adventitious Sounds: none;
Tactile Fremitus and Transmitted Voice Sounds: normal
Term
Chronic Bronchitis
Definition
Percussion Note: resonant;
Trachea: midline;
Breath Sounds:vesicular (normal);
Adventitious Sounds: none to crackles in early inspiration, wheezes or rhonchi
Tactile Fremitus and Transmitted Voice Sounds: Normal
Term
Left-Side Heart Failure
Definition
Percussion Note: resonant;
Trachea: midline;
Breath Sounds: vesicular;
Adventitious Sounds: late inspiratory crackles in dependent portions of lungs, wheezes;
Tactile Fremitus and Transmitted Voice Sounds: normal
Term
Consolidation:
Definition
Percussion Note: dull over airless area;
Trachea:midline;
Breath Sounds: bronchial over involved area;
Adventitious Sounds: late inspiratory crackles over involved area;
Tactile Fremitus and Transmitted Voice Sounds: increased over involved area, with bronchophony, egophony, and whispered pectoriloquy;
Term
Atelectasis
Definition
Percussion Note: dull over the airless area;
Trachea: may be shifted toward involved side;
Breath Sounds: usually absent when bronchial plug persists, may have sound in RUL atelectasis;
Adventitious Sounds: none;
Tactile Fremitus and Transmitted Voice Sounds: usually absent, may have increase in RUL atelectasis
Term
Pleural Effusion
Definition
Percussion Note: dull to flat over fluid;
Trachea: shifted toward opposite side;
Breath Sounds: decreased to absent, may be heard near top of effusion;
Adventitious Sounds: none, except a possible pleural rub;
Tactile Fremitus and Transmitted Voice Sounds: decreased to absent, may be increased toward top of effusion
Term
Pneumothorax
Definition
Percussion Note: hyperresonant or tympanitic over the pleural air;
Trachea: shifted toward opposite side if much air;
Breath Sounds: decreased to absent over the pleural air;
Adventitious Sounds: none, except a possible pleural rub;
Tactile Fremitus and Transmitted Voice Sounds: decreased to absent over pleural air
Term
Chronic Obstructive Pulmonary Disease (COPD)
Definition
Percussion Note: diffusely hyperresonant;
Trachea: midline;
Breath Sounds: decreased to absent;
Adventitious Sounds: none to crackles, wheezes, and rhonchi associated with chronic bronchitis
Tactile Fremitus and Transmitted Voice Sounds: decreased
Term
Asthma
Definition
Percussion Note: resonant to diffusely hyperresonant;
Trachea: midline;
Breath Sounds: often obscured by wheezing;
Adventitious Sounds: wheezes, possibly crackles;
Tactile Fremitus and Transmitted Voice Sounds: decreased
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