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TMC study
Increased work of breathing Patient-ventilator dyssynchrony auto-PEEP Increase
Question | Answer |
---|---|
Chronic airway obstruction | Appears chronically ill Increased AP diameter Use of accessory muscles Reduced expansion Diffuse decrease in breath sounds Early inspirations crackles Chronic bronchitis & emphysema |
Acute airway obstruction | Appears acutely ill Use of accessory muscles Reduced expansion Increased resonance Expiratory wheezing Asthma & bronchitis Indications for Tracheostom |
Consolidation | May appear acutely ill Inspiratory lag Increased Dull note Bronchial breath sounds Crackles Pneumonia Tumor |
Pneumothorax | May appear acutely ill Unilateral expansion Decreased Fremitus crepitus Increased resonance Absent breath sounds Chest trauma |
Pleural Effusion | May appear acutely ill unilateral expansion absent fremitus Dull note absent breath sounds CHF |
Bronchial obstruction Atelectasis | Appears acutely ill unilateral expansion absent fremitus Dull note absent breath sounds mucous plug Diffuse Interstitial Fibrosis Often normal Rapid shallow breathing Often normal; increased fremitus (Palpation) Slight decrease in resonan |
Diffuse Interstitial Fibrosis | Often normal Rapid shallow breathing Often normal; increased fremitus (Palpation) Slight decrease in resonance Late inspiratory crackles - pneumoconiosis |
Acute Upper Airway Obstruction | Appears acutely ill Labored breathing Often normal (Palpation) Often normal (Percussion) Inspiratory and/ or expiratory stridor -epiglottitis -croup -foreign body |