07-04-2008, 06:24 AM
has pleural effusion dullness to percussion?
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nbme q . wat is the answer. - doc18
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07-04-2008, 06:38 AM
yes pleural effusion does have dullness to percussion .
answer : pleural effusion.
07-04-2008, 06:46 AM
similar practice qn--
A 60-year-old man comes to the emergency department after sustaining facial injuries in a fight. He is mouth breathing, apparently due to his injuries, but he denies any respiratory problems. He is known to be alcoholand drug-dependent. He has smoked one to two packs of cigarettes per day for 35 years. There is dullness to percussion,increased vocal fremitus, and bronchial breath sounds, and rales over the right upper lobe.¢ Which of the following is the most likely diagnosis? A. Pneumothorax B. Pleural effusion D. Pulmonary embolism D. Sarcoidosis E. Tuberculosis 2nd case A 67-year-old man presents to the physician™s office with shortness of breath, pleuritic chest pain, mild coughing without sputum production, and exertional breathlessness. These symptoms have lasted 12 days. The respiratory rate is 24 /min. The trachea is midline. There is dullness to percussion, decreased fremitus, and decreased breath sounds in the lower one third of the left side of the chest. Cardiac examination shows normal heart sounds, and no murmur. There is no peripheral edema. Chest x-ray is ordered.¢ Which of the following is the most likely cause of the lung findings on physical examination? A. Pulmonary embolism B. Alveolar consolidation (infiltrate from bacterial pneumonia) C. Pleural effusion D. Bronchial obstruction E. Pneumothorax
07-04-2008, 07:33 AM
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