WillWallace 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
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| 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)
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| Massive Atelectasis | (collapsed lung) trachea moves away, hypo- resonance-flat
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| Large Pleural Effusion | Trachea moves away, Hypo-resonance flat.
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| Pneumothorax | Trachea shifting moves toward, hyper-resonance, unilateral chest expansion, decreased tactile fremitice, diminished bs
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| tension Pneumothorax | trachea shifts away, hyperresonance tympany
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| spontaneous pneumothorax | trachea shifts towards
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| asthma | hyperresonance, rhonchi on E and wheeze on E
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| Emphysema | hyperresonance, decreased tactile fremitus, crackle/rale bs on I, rhonchi on E
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| Airway constriction | strider (barking) on I
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| COPD | Hyperresonance, bilateral chest expansion, decreased tactile fremitice, (end stage = diminished bs)
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| CHF | (congestive heart failure) wheeze on E
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| Neuromuscular | bilateral chest expansion
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| pulmonary fibrosis | crackles/rales bs on I
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| air fill stomach | hyperresonance
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| consolidation | hyporesonance-dullness, unilateral chest expansion, increased tactile fremitus.
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| pleural thickening | hyporesonance-dullness
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| pneumonia | increased tactile fremitice, crackles/rales on I
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| fluid | decreased tactile fremitice
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| pulmonary edema | hyporesonance-dullness, crackles/rales on I
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| lung mass | increased tactile fremitus.
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| pleurisy | pleural friction rub, painful clicking on I & E
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| Mucus plug | rhonchi (rumble on E that clears with cough)
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| epiglottis | strider-barking on I
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| croup | strider barking on I
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| stenosis | rhonchi (rumble on E)
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| post extubation | strider (barking on I)
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| pneumonectomy | hyporesonance-flatness
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