Pulmonary signs and disorders

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