Pima Patient Asst 3/08 Final/Diseases

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Atelectasis

(collapsed alveoli) Hypo-resonance, trachea shifts towards, unilateral chest expansion, increased tactile fremitice, crackles/rales BS on I

Pleural Effusion

(fluid in pleural cavity) trachea moves towards, hypo-resonance dull, unilateral chest expansion, decreased tactile fremitus, pleural friction rub on I & E (clicking)

Massive Atelectasis

(collapsed lung) trachea moves away, hypo- resonance-flat

Large Pleural Effusion

Trachea moves away, Hypo-resonance flat.

Pneumothorax

Trachea shifting moves toward, hyper-resonance, unilateral chest expansion, decreased tactile fremitice, diminished bs

tension Pneumothorax

trachea shifts away, hyperresonance tympany

spontaneous pneumothorax

trachea shifts towards

asthma

hyperresonance, rhonchi on E and wheeze on E

Emphysema

hyperresonance, decreased tactile fremitus, crackle/rale bs on I, rhonchi on E

Airway constriction

strider (barking) on I

COPD

Hyperresonance, bilateral chest expansion, decreased tactile fremitice, (end stage = diminished bs)

CHF

(congestive heart failure) wheeze on E

Neuromuscular

bilateral chest expansion

pulmonary fibrosis

crackles/rales bs on I

air fill stomach

hyperresonance

consolidation

hyporesonance-dullness, unilateral chest expansion, increased tactile fremitus.

pleural thickening

hyporesonance-dullness

pneumonia

increased tactile fremitice, crackles/rales on I

fluid

decreased tactile fremitice

pulmonary edema

hyporesonance-dullness, crackles/rales on I

lung mass

increased tactile fremitus.

pleurisy

pleural friction rub, painful clicking on I & E

Mucus plug

rhonchi (rumble on E that clears with cough)

epiglottis

strider-barking on I

croup

strider barking on I

stenosis

rhonchi (rumble on E)

post extubation

strider (barking on I)

pneumonectomy

hyporesonance-flatness