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pulmonary signs
NPTE: pulmonary - physical signs of diseases (scorebuilder 2008)
| Physical Sign for: Disease | Answer |
|---|---|
| Breath sounds for: Asthma, acute moderately severe attack | decreased, bronchial, prolonged expiration |
| Adventitious sounds for: Asthma, acute moderately severe attack | inspiratory and expiratory wheeze |
| Voice sounds for: Asthma, acute moderately severe attack | decreased |
| Inspection for: Asthma, acute moderately severe attack | increased use of accessory muscles, tachypnea |
| Tactile fremitus for: Asthma, acute moderately severe attack | decreased |
| Percussion for: Asthma, acute moderately severe attack | normal/increased |
| Breath sounds for: Atelectasis | decreased or 0 |
| Adventitious sounds for: Atelectasis | Crackles |
| Voice sounds for: Atelectasis | decreased or 0 |
| Inspection for: Atelectasis | Trachea deviated to affected side |
| Tactile Fremitus for: Atelectasis | decreased |
| Percussion for: Atelectasis | decreased/very decreased |
| Breath sounds for: Bronchiectasis | normal |
| Breath sounds for: Brochitis | normal, possibly prolonged expiration |
| Breath sounds for: COPD | decreased/very decreased, prolonged expiration |
| Breath sounds for: Consolidation | Bronchial |
| Breath sounds for: Localized Fibrosis | decreased |
| Breath sounds for: Generalized Fibrosis | decreased |
| Breath sounds for: Heart Failure | normal |
| Breath sounds for: Pleural Effusion (moderate to large) | decreased or 0 over the effusion; bronchial above the fluid |
| Breath sounds for: Pneumothorax (>15%) | decreased or 0 |
| Adventitious sounds for: Brochiectasis | Crackles |
| Adventitious sounds for: Bronchitis | Crackles, wheezes |
| Adventitious sounds for: COPD | None (no crackles, wheezes) |
| Adventitious sounds for: Consolidation | Crackles |
| Adventitious sounds for: Localized Fibrosis | Crackles |
| Adventitious sounds for: Generalized Fibrosis | Crackles |
| Adventitious sounds for: Heart Failure | Dependent crackles |
| Adventitious sounds for: Pleural Effusion (moderate to large) | Possible pleural rub |
| Adventitious sounds for: Pneumothorax (>15%) | none |
| Voice sounds for: Bronchiectasis | normal |
| Voice sounds for: Bronchitis | normal |
| Voice sounds for: COPD | decreased or 0 bilaterally |
| Voice sounds for: Consolidation | Whispered pectoriloquy |
| Voice sounds for: Localized Fibrosis | decreased |
| Voice sounds for: Generalized Fibrosis | decreased |
| Voice sounds for: Heart Failure | normal |
| Voice sounds for: Pleural Effusion (moderate to large) | decreased over the effusion, increased above the fluid |
| Voice sounds for: Pneumothorax (>15%) | decreased or 0 |
| Inspection for: Bronchiectasis | decreased expansion on affected side, tachypnea, clubbing |
| Inspection for: Bronchitis | possible decreased motion, occasional use of accessory muscles |
| Inspection for: COPD | barrel-shaped chest, moves as a unit, increased use of accessory muscles |
| Inspection for: Consolidation | Decreased motion on affected side |
| Inspection for: Localized Fibrosis | Decreased motion over area |
| Inspection for: Generalized Fibrosis | Decreased motion bilaterally |
| Inspection for: Heart Failure | Normal chest expansion, tachypnea |
| Inspection for: Pleural Effusion (moderate to large) | Decreased motion on affected side, increased resp rate, trachea deviated to opposite side |
| Inspection for: Pneumothorax (>15%) | Decreased motion on affected side |
| Tactile Fremitus for: Bronchiectasis | increased rhonchal fremitus |
| Tactile Fremitus for: Bronchitis | decreased bilaterally |
| Tactile Fremitus for: COPD | decreased bilaterally |
| Tactile Fremitus for: Consolidation | increased |
| Tactile Fremitus for: Localized Fibrosis | decreased or 0 |
| Tactile Fremitus for: Generalized Fibrosis | decreased or 0 |
| Tactile Fremitus for: Heart Failure | normal |
| Tactile Fremitus for: Pleural Effusion (moderate to large) | decreased or 0 |
| Tactile Fremitus for: Pneumothorax (>15%) | decreased or 0 |
| Percussion for: Bronchiectasis | normal |
| Percussion for: Bronchitis | increased bilaterally |
| Percussion for: COPD | increased bilaterally |
| Percussion for: Consolidation | decreased |
| Percussion for: Localized Fibrosis | decreased |
| Percussion for: Generalized Fibrosis | decreased |
| Percussion for: Heart Failure | normal |
| Percussion for: Pleural Effusion (moderate to large) | decreased/very decreased |
| Percussion for: Pneumothorax (>15%) | increased |