Collapsed lung

111 Collapsed lung

Instruction

Examine this patient’s chest.

Salient features

History

• Sudden onset of breathlessness

• History of cough

• History of asthma, TB, lung cancer.

Examination

• Trachea deviated to the affected side

• Movements decreased on the affected side

• Percussion note dull on the affected side

• Breath sounds diminished on the affected side.

Proceed as follows:

• Tell the examiner that you would like to look for tar staining (tobacco smoking), clubbing and cachexia (bronchogenic carcinoma; see p. 387).

• Be prepared to discuss the patients chest radiography (Fig. 111.1).

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Tags: 250 Cases in Clinical Medicine

Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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