https://ideawaza.com/api.php?action=feedcontributions&feedformat=atom&user=85.100.114.177 2026-09-29T19:48:09Z User contributions MediaWiki 1.46.0 https://ideawaza.com/index.php?title=Archive:Pneumonia_examination&diff=44518 2008-03-13T21:58:37Z

<p>85.100.114.177: /* percussion */</p> <hr /> <div>==History==<br /> *cough<br /> **productive?<br /> ***amount<br /> ***color<br /> ***odor/taste<br /> ***hemoptysis<br /> *fever, chills, rigors, SOB, chest pain (worse on inspiration), diaphoresis<br /> *travel, infectious exposure, medications, EtOH<br /> *underlying conditions: smoker, diabetes, cystic fibrosis, immunocomprimised, asthma, COPD, TB<br /> <br /> ==Physical Exam==<br /> ===Inspection===<br /> **ill-looking<br /> **SOB<br /> **diaphoresis<br /> **chills/rigors<br /> **respiratory distress<br /> ===palpation===<br /> **decreased chest expansion or asymetry<br /> **lymphadenopathy<br /> **tactile fremitus<br /> ===percussion===<br /> **dull<br /> **decreased diaphragmatic excursion<br /> ===auscultation===<br /> **bronchial breath sounds in periphery<br /> **decreased air entry<br /> **crepitations<br /> **'''bronchophony''' -voice heard abnormally clearly over consolidated lung<br /> **'''egaphony''' - listen to patient's chest as they make &quot;e&quot; sound, if +'ve will hear an &quot;a&quot; sound<br /> **'''whispering pectoriloquay''' - pt whispers &quot;1, 2, 3, 4&quot;, if clear then extreme consolidation<br /> <br /> ==Investigations to order==<br /> *CBC<br /> *Blood cultures<br /> *mantoux (TB)<br /> *serology (mycoplasma, viruses)<br /> *sputum <br /> **gram stain, C&amp;S<br /> *CXR <br /> **typical: discrete/lobar consolidation, air bronchograms<br /> **atypical: diffuse/patchy/interstitial infiltrates<br /> <br /> ==Other OSCE modules==<br /> {{OSCE2}}<br /> [[Category:OSCE]]<br /> [[Category:Medicine]]</div>

85.100.114.177