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Table 1 Classic Physical Findings in Some Common Pulmonary Disorders
Disorder Inspection Palpation Percussion Auscultation
Bronchial asthma Hyperinflation; use of accessory muscles Impaired expansion; decreased fremitus Hyperresonant; low diaphragm Prolonged expiration; inspiratory and expiratory wheezes
Pneumothorax
(complete)
Lag on affected side Absent fremitus Hyperresonant or tympanitic Absent breath sounds
Pleural effusion
(large)
Lag on affected side Decreased fremitus; trachea and heart shifted away from affected side

Dullness or flatness

Absent breath sounds
Atelectasis
(lobar obstruction)
Lag on affected side Decreased fremitus; trachea and heart shifted toward affected side Dullness or flatness Absent breath sounds
Consolidation (pneumonia) Possible lag or splinting on affected side Increased fremitus Dullness Bronchial breath sounds; bronchophony; pectoriloquy; crackles

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