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Flap 1 Flap 2
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