Page 20 - Pleural Effusion

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CikguOnline

Diagnosis

Physical

1. Dullness or decreased resonance to percussion

2. Diminished or in-audible breath sounds

3. Decreased tactile fremitus

4. Egophony ("e" to "a" changes) at the most superior aspect of the pleural

effusion (indicating atelectasis and consolidation due to pressure on the lung

parenchyma)

5. Pleural friction rub