Kategoriak: All - percussion

arabera Raabia Ansari 2 years ago

247

PLEURAL EFFUSION

Pleural effusion involves the accumulation of excess fluid between the layers of the pleura outside the lungs. Key clinical signs include decreased breath sounds and dullness to percussion over the effusion area.

PLEURAL EFFUSION

PLEURAL EFFUSION

Auscultation

Bronchial breath sounds heard over area of effusion
Pleural friction/rubbing
Decreased breath sounds over the effusion

Special tests

Bronchophony shows abnormal vocal resonance
Whispered pectoriloquy: Whispered "1,2,3" is intelligible
Egophony: "E" sounds more like an "A"

Vital Signs

BP: (+/-) elevated due to pain, can also be decreased due to underlying cause
Temperature: Pyrexia >100.4°F
Decreased Oxygen saturation: <95%
Respiratory rate: Tachypnea, >20 BPM
Pulse: tachycardia: HR>100

Percussion

Dullness to percussion

Palpation

Decreased tactile fremitus
Tracheal deviation away from affected side
Chest expansion decreased on affected side

Inspection

(+/-) Accessory muscle use depending on severity of pleural effusion
(+/-) Tachypnea based on size of effusion
(+/-) tripod position
(+/-) Cyanosis, indicating severe hypoxia