Respiratory pathological conditions and its examination

1. Respiratory Examination Findings In Various Conditions
Dr.Anjum Akhtar R Siddiqui(PT)
Sr.lecturer, Cardio –Pulmonary Sciences
Khyati Institute of Physiotherapy, Gujarat University
Ahmedabad, Gujarat
Respiratory
Conditions
Foreign
Sound
Breath Percussion Vocal
Resonance
Mediastinum
(Tracheal
Shift)
Chest Wall
Movement
Chest
Shape
X Ray findings
COPD/Emphsyema Rhonchi Prolonged
Expiration
Hyper Resonant Diminished Central Decreased
Usually
Bilateral
Barrel Shaped Hyperlucency, Widened Intercostals Space,
Low Flat Diaphragm, Bullae.
Bronchectasis Course
/Rales
Vesicular Normal Normal Central Decreased/
Normal
Normal Multiple Ring Shadow Or Tram Line,
Honey Comb Appearance
Bronchial Ashtma Expiratory
Rhonchi
Prolonged
Expiration
Normal Normal Central Accessory
Muscle Acting
Normal May Be Normal
Pleural Effusion Pleural
Friction
Rub
Absent Stony Dull Egophony PUSH Decreased Normal Obliteration Of CP Angle, Concave Upper
Border, Homogenous Opacity, Shifting Of
Trachea
Empyema Absent Absent Stony Dull Egophony PUSH Decreased Bulging
Edematous
In Early Stage Same As Uncomplicated
Pleural Effusion,
Pnemothorax Absent Absent Hyper
Resonance
Absent PUSH Decreased Normal Hyper Translucency Between The Lungs
And Thoracic Cage, Lung edges are not
clear
Hydropnemothorax Succession
Splash
Absent Shifting
Dulness
Absent PUSH Decreased Normal Obliteration Of CP Angle At Bases,
Hyperlucency At Apical Portion,
Total Collapse Absent Absent Dull Absent PULL Decreased Retraction Homogenous Opacity Of The Involved
Area, Displacement Of Interlobular Fissure,
Mediastinal Shift To The Affected Side
Partial Collapse Rales Or
Rhonchi
Tubular Dull Increased PULL Decreased Normal Or
Retraction
Non Homogenous Opacity, Displacement
Of Interlobular Fissure May Be Present
Consolidation Rales Tubular Dull Increased Central Decreased Normal Acute Case, Air Bronchogram Is Visible,
No Shrinking Of Lungs,
Fibrosis Rales Diminished Impaired Diminished PULL Decreased Retraction Chronic Case, Diffuse Reticular Fibrotic
Pattern, Shrinking Of Lungs, Compare With
Previous X Rays,
Cavity Rales Low
Pitched
Impaired Increased Central Or PULL Decreased Normal Or
Retraction
Ring Shadow, Look At The Center Of The
Lesion And Than At Periphery, If The
Center Is Darker Than Cavitations
Pulmonary
Tuberculosis
Rales Low
Pitched
Impaired Increased Center Or PULL Decreased Normal Classical Coin Shaped Lesion, Look At The
Edges – If Edges Is Speculated, Irregular It
Suggested Of Malignancy