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Old 09-28-2010
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Stethoscope Respiratory Physical Exam Question

A patient with low-grade fever and weight loss has poor excursion on the right side of the chest with decreased fremitus, flatness to percussion, and decreased breath sounds all on the right. The trachea is deviated to the left.

Which of the following is the most likely diagnosis?

a. Pneumothorax
b. Pleural effusion
c. Consolidated pneumonia
d. Atelectasis
e. Chronic obstructive lung disease

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Old 09-28-2010
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Pleural effusion
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Old 09-28-2010
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is it pleural effusion
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Old 09-28-2010
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pleural effusion
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Old 09-29-2010
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Correct Answer

The Correct Asnwer:
Quote:
Pleural Effusion
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Old 03-17-2011
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Weight loss and low grade fever probably suggests TB or lymphoproliferative disorder as the underlying cause of effusion.

Quote:
Originally Posted by good_boy_1234 View Post
A patient with low-grade fever and weight loss has poor excursion on the right side of the chest with decreased fremitus, flatness to percussion, and decreased breath sounds all on the right. The trachea is deviated to the left.

Which of the following is the most likely diagnosis?

a. Pneumothorax
b. Pleural effusion
c. Consolidated pneumonia
d. Atelectasis
e. Chronic obstructive lung disease

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Old 03-17-2011
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Quote:
Originally Posted by good_boy_1234 View Post
A patient with low-grade fever and weight loss has poor excursion on the right side of the chest with decreased fremitus, flatness to percussion, and decreased breath sounds all on the right. The trachea is deviated to the left.

Which of the following is the most likely diagnosis?

a. Pneumothorax
b. Pleural effusion
c. Consolidated pneumonia
d. Atelectasis
e. Chronic obstructive lung disease

Pneumothorax:
-Simple: No tracheal deviation
-Tension: Tracheal deviation tot he opposite side

Pleural effusion:
-I f large enough tracheal dev. to the opposite side

Atelectasis:
-Tracheal deviation to the SAME side

COPD:
-No tracheal deviation
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