SlideShare a Scribd company logo
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

More Related Content

What's hot

Adventitious breath sounds
Adventitious breath soundsAdventitious breath sounds
Adventitious breath sounds
jcp1962
 
Pneumothorax & chest tube final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecturePneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube final year mbbs lecture
Mr Adeel Abbas
 
Chest emergencies
Chest emergenciesChest emergencies
Chest emergencies
NHS
 
Assessment of respiratory system
Assessment of respiratory systemAssessment of respiratory system
Assessment of respiratory system
Hasnah Noi
 
Clinical methods
Clinical methodsClinical methods
Clinical methods
Emmanuel Oppong
 
Chest examination
Chest examinationChest examination
Chest examination
drahmed142010
 
Structured examination of the Respiratory System
Structured examination of the Respiratory SystemStructured examination of the Respiratory System
Structured examination of the Respiratory System
Jonathan Downham
 
Physical Examination of Thorax
Physical Examination of Thorax Physical Examination of Thorax
Physical Examination of Thorax
DilinaAarewatte
 
Medical Imaging of Pneumothorax (PNO)-Walif Chbeir
Medical Imaging of Pneumothorax (PNO)-Walif ChbeirMedical Imaging of Pneumothorax (PNO)-Walif Chbeir
Medical Imaging of Pneumothorax (PNO)-Walif Chbeir
Walif Chbeir
 
Chest trauma
Chest traumaChest trauma
Chest trauma
Claude UKIRIMUTO
 
pulmonary assessment for nurses
pulmonary assessment for nurses pulmonary assessment for nurses
pulmonary assessment for nurses
Saili Gaude
 
Examination of Respiratory system
Examination of Respiratory systemExamination of Respiratory system
Examination of Respiratory system
AltynaiTabyldyeva1
 
ASSESSMENT, EVALUATION AND TREATMENT OF RESPIRATORY CONDITIONS
ASSESSMENT, EVALUATION AND TREATMENT  OF RESPIRATORY CONDITIONSASSESSMENT, EVALUATION AND TREATMENT  OF RESPIRATORY CONDITIONS
ASSESSMENT, EVALUATION AND TREATMENT OF RESPIRATORY CONDITIONS
Peace Samuel
 
Chest tubes and lines
Chest tubes and linesChest tubes and lines
Chest tubes and lines
Sahana Subramani
 
Chest trauma pg
Chest trauma pgChest trauma pg
Chest trauma pg
Dr Rajinder Dhaliwal
 
The resp.system
The resp.system The resp.system
The resp.system
jafarqamar
 
10.Pneumothorax
10.Pneumothorax10.Pneumothorax
10.Pneumothorax
ghalan
 
Respiratory System assessment
Respiratory System assessmentRespiratory System assessment
Respiratory System assessment
pankaj rana
 
High risk condition of dyspnea
High risk condition of dyspneaHigh risk condition of dyspnea
High risk condition of dyspnea
nawan_junior
 

What's hot (19)

Adventitious breath sounds
Adventitious breath soundsAdventitious breath sounds
Adventitious breath sounds
 
Pneumothorax & chest tube final year mbbs lecture
Pneumothorax & chest tube   final year mbbs lecturePneumothorax & chest tube   final year mbbs lecture
Pneumothorax & chest tube final year mbbs lecture
 
Chest emergencies
Chest emergenciesChest emergencies
Chest emergencies
 
Assessment of respiratory system
Assessment of respiratory systemAssessment of respiratory system
Assessment of respiratory system
 
Clinical methods
Clinical methodsClinical methods
Clinical methods
 
Chest examination
Chest examinationChest examination
Chest examination
 
Structured examination of the Respiratory System
Structured examination of the Respiratory SystemStructured examination of the Respiratory System
Structured examination of the Respiratory System
 
Physical Examination of Thorax
Physical Examination of Thorax Physical Examination of Thorax
Physical Examination of Thorax
 
Medical Imaging of Pneumothorax (PNO)-Walif Chbeir
Medical Imaging of Pneumothorax (PNO)-Walif ChbeirMedical Imaging of Pneumothorax (PNO)-Walif Chbeir
Medical Imaging of Pneumothorax (PNO)-Walif Chbeir
 
Chest trauma
Chest traumaChest trauma
Chest trauma
 
pulmonary assessment for nurses
pulmonary assessment for nurses pulmonary assessment for nurses
pulmonary assessment for nurses
 
Examination of Respiratory system
Examination of Respiratory systemExamination of Respiratory system
Examination of Respiratory system
 
ASSESSMENT, EVALUATION AND TREATMENT OF RESPIRATORY CONDITIONS
ASSESSMENT, EVALUATION AND TREATMENT  OF RESPIRATORY CONDITIONSASSESSMENT, EVALUATION AND TREATMENT  OF RESPIRATORY CONDITIONS
ASSESSMENT, EVALUATION AND TREATMENT OF RESPIRATORY CONDITIONS
 
Chest tubes and lines
Chest tubes and linesChest tubes and lines
Chest tubes and lines
 
Chest trauma pg
Chest trauma pgChest trauma pg
Chest trauma pg
 
The resp.system
The resp.system The resp.system
The resp.system
 
10.Pneumothorax
10.Pneumothorax10.Pneumothorax
10.Pneumothorax
 
Respiratory System assessment
Respiratory System assessmentRespiratory System assessment
Respiratory System assessment
 
High risk condition of dyspnea
High risk condition of dyspneaHigh risk condition of dyspnea
High risk condition of dyspnea
 

Similar to An easy wat to remember respirtory examination findings pdf

Emt Respiratory System
Emt Respiratory SystemEmt Respiratory System
Emt Respiratory System
shabeel pn
 
The Respiratory System
The Respiratory SystemThe Respiratory System
The Respiratory System
shabeel pn
 
respiratoryassessment and it's examination
respiratoryassessment and it's examinationrespiratoryassessment and it's examination
respiratoryassessment and it's examination
wajidullah9551
 
ASSESSMENT OF THE CHEST AND LUNGS
ASSESSMENT OF THE CHEST AND LUNGSASSESSMENT OF THE CHEST AND LUNGS
ASSESSMENT OF THE CHEST AND LUNGS
QURATULAIN MUGHAL
 
Respiratory assessment
Respiratory assessmentRespiratory assessment
Respiratory assessment
Denice Ann Barboza
 
PULMONARY MEDICINE
PULMONARY MEDICINEPULMONARY MEDICINE
PULMONARY MEDICINE
DJ CrissCross
 
Emt the respiratory system
Emt the respiratory systemEmt the respiratory system
Emt the respiratory system
Dang Thanh Tuan
 
Pulmonology (resp emerg)
Pulmonology (resp emerg)Pulmonology (resp emerg)
Pulmonology (resp emerg)
Ben Lesold
 
Combitube.ppt
Combitube.pptCombitube.ppt
Combitube.ppt
TadesseFenta1
 
Thorax And Lungs.330.Ss.09
Thorax And Lungs.330.Ss.09Thorax And Lungs.330.Ss.09
Thorax And Lungs.330.Ss.09
Governors State University
 
Pharyngeal esophageal airway device
Pharyngeal esophageal airway devicePharyngeal esophageal airway device
Pharyngeal esophageal airway device
Dang Thanh Tuan
 
Advanced Airway Management 1
Advanced  Airway  Management 1Advanced  Airway  Management 1
Advanced Airway Management 1
Dang Thanh Tuan
 
Dyspnea
DyspneaDyspnea
Dyspnea
Fatima Awadh
 
Assessment of respiratory system
Assessment of respiratory systemAssessment of respiratory system
Assessment of respiratory system
elhadi ibrahim
 
Chest Radiograph for Interns
Chest Radiograph for InternsChest Radiograph for Interns
Chest Radiograph for Interns
Cristal Ann Laquindanum
 
Respiratory System Physical Examination
Respiratory System Physical ExaminationRespiratory System Physical Examination
Respiratory System Physical Examination
Saneesh P J
 
Medical terminology
Medical terminologyMedical terminology
Medical terminology
ssuserb0567b
 
burps.pdf
burps.pdfburps.pdf
burps.pdf
NallathaiPapa
 
03b Respiratory Emergencies.pptx
03b Respiratory Emergencies.pptx03b Respiratory Emergencies.pptx
03b Respiratory Emergencies.pptx
Dex Gabriel
 
Basic Radiology for Third Year Medical students
Basic Radiology for Third Year Medical students Basic Radiology for Third Year Medical students
Basic Radiology for Third Year Medical students
BenjiH
 

Similar to An easy wat to remember respirtory examination findings pdf (20)

Emt Respiratory System
Emt Respiratory SystemEmt Respiratory System
Emt Respiratory System
 
The Respiratory System
The Respiratory SystemThe Respiratory System
The Respiratory System
 
respiratoryassessment and it's examination
respiratoryassessment and it's examinationrespiratoryassessment and it's examination
respiratoryassessment and it's examination
 
ASSESSMENT OF THE CHEST AND LUNGS
ASSESSMENT OF THE CHEST AND LUNGSASSESSMENT OF THE CHEST AND LUNGS
ASSESSMENT OF THE CHEST AND LUNGS
 
Respiratory assessment
Respiratory assessmentRespiratory assessment
Respiratory assessment
 
PULMONARY MEDICINE
PULMONARY MEDICINEPULMONARY MEDICINE
PULMONARY MEDICINE
 
Emt the respiratory system
Emt the respiratory systemEmt the respiratory system
Emt the respiratory system
 
Pulmonology (resp emerg)
Pulmonology (resp emerg)Pulmonology (resp emerg)
Pulmonology (resp emerg)
 
Combitube.ppt
Combitube.pptCombitube.ppt
Combitube.ppt
 
Thorax And Lungs.330.Ss.09
Thorax And Lungs.330.Ss.09Thorax And Lungs.330.Ss.09
Thorax And Lungs.330.Ss.09
 
Pharyngeal esophageal airway device
Pharyngeal esophageal airway devicePharyngeal esophageal airway device
Pharyngeal esophageal airway device
 
Advanced Airway Management 1
Advanced  Airway  Management 1Advanced  Airway  Management 1
Advanced Airway Management 1
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Assessment of respiratory system
Assessment of respiratory systemAssessment of respiratory system
Assessment of respiratory system
 
Chest Radiograph for Interns
Chest Radiograph for InternsChest Radiograph for Interns
Chest Radiograph for Interns
 
Respiratory System Physical Examination
Respiratory System Physical ExaminationRespiratory System Physical Examination
Respiratory System Physical Examination
 
Medical terminology
Medical terminologyMedical terminology
Medical terminology
 
burps.pdf
burps.pdfburps.pdf
burps.pdf
 
03b Respiratory Emergencies.pptx
03b Respiratory Emergencies.pptx03b Respiratory Emergencies.pptx
03b Respiratory Emergencies.pptx
 
Basic Radiology for Third Year Medical students
Basic Radiology for Third Year Medical students Basic Radiology for Third Year Medical students
Basic Radiology for Third Year Medical students
 

Recently uploaded

anatomy of submandibular region presentation
anatomy of submandibular region presentationanatomy of submandibular region presentation
anatomy of submandibular region presentation
MalaM67
 
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book NowCall Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
saftyhealth48
 
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.GawadHemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
NephroTube - Dr.Gawad
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
Bhavyakelawadiya
 
pharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptxpharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptx
AdugnaWari
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
Dr. Sumit KUMAR
 
Call Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls PuneCall Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls Pune
Mobile Problem
 
Patellar Instability: Diagnosis Management
Patellar Instability: Diagnosis  ManagementPatellar Instability: Diagnosis  Management
Patellar Instability: Diagnosis Management
Dr Nitin Tyagi
 
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticalsacne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
MuskanShingari
 
PGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s PerspectivePGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s Perspective
Golden Helix
 
Brain specific drug delivery.pptx -Mpharm
Brain specific drug delivery.pptx -MpharmBrain specific drug delivery.pptx -Mpharm
Brain specific drug delivery.pptx -Mpharm
MuskanShingari
 
Microbiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the MicroscopeMicrobiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the Microscope
ThaShee2
 
Allopurinol (Anti-gout drug).pptx
Allopurinol (Anti-gout drug).pptxAllopurinol (Anti-gout drug).pptx
Allopurinol (Anti-gout drug).pptx
Madhumita Dixit
 
Call Girls Goa (india) +91-7426014248 Goa Call Girls
Call Girls Goa (india) +91-7426014248 Goa Call GirlsCall Girls Goa (india) +91-7426014248 Goa Call Girls
Call Girls Goa (india) +91-7426014248 Goa Call Girls
sagarvarma453
 
Call Girls in Kolkata 💯Call Us 🔝 7374876321 🔝 💃 Top Class Call Girl Servic...
Call Girls in Kolkata   💯Call Us 🔝 7374876321 🔝 💃  Top Class Call Girl Servic...Call Girls in Kolkata   💯Call Us 🔝 7374876321 🔝 💃  Top Class Call Girl Servic...
Call Girls in Kolkata 💯Call Us 🔝 7374876321 🔝 💃 Top Class Call Girl Servic...
daljeetsingh9909
 
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) CosmeticsStoryboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
MuskanShingari
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
Selective α1-Blocker.pptx
Selective α1-Blocker.pptxSelective α1-Blocker.pptx
Selective α1-Blocker.pptx
Madhumita Dixit
 
Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
Bhavyakelawadiya
 

Recently uploaded (20)

anatomy of submandibular region presentation
anatomy of submandibular region presentationanatomy of submandibular region presentation
anatomy of submandibular region presentation
 
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book NowCall Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
 
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.GawadHemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
 
pharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptxpharmacy exam preparation for undergradute students.pptx
pharmacy exam preparation for undergradute students.pptx
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
 
Call Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls PuneCall Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls Pune
 
Patellar Instability: Diagnosis Management
Patellar Instability: Diagnosis  ManagementPatellar Instability: Diagnosis  Management
Patellar Instability: Diagnosis Management
 
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticalsacne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
 
PGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s PerspectivePGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s Perspective
 
Brain specific drug delivery.pptx -Mpharm
Brain specific drug delivery.pptx -MpharmBrain specific drug delivery.pptx -Mpharm
Brain specific drug delivery.pptx -Mpharm
 
Microbiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the MicroscopeMicrobiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the Microscope
 
Allopurinol (Anti-gout drug).pptx
Allopurinol (Anti-gout drug).pptxAllopurinol (Anti-gout drug).pptx
Allopurinol (Anti-gout drug).pptx
 
Call Girls Goa (india) +91-7426014248 Goa Call Girls
Call Girls Goa (india) +91-7426014248 Goa Call GirlsCall Girls Goa (india) +91-7426014248 Goa Call Girls
Call Girls Goa (india) +91-7426014248 Goa Call Girls
 
Call Girls in Kolkata 💯Call Us 🔝 7374876321 🔝 💃 Top Class Call Girl Servic...
Call Girls in Kolkata   💯Call Us 🔝 7374876321 🔝 💃  Top Class Call Girl Servic...Call Girls in Kolkata   💯Call Us 🔝 7374876321 🔝 💃  Top Class Call Girl Servic...
Call Girls in Kolkata 💯Call Us 🔝 7374876321 🔝 💃 Top Class Call Girl Servic...
 
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) CosmeticsStoryboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
Selective α1-Blocker.pptx
Selective α1-Blocker.pptxSelective α1-Blocker.pptx
Selective α1-Blocker.pptx
 
Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
 

An easy wat to remember respirtory examination findings pdf

  • 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