Empyema physical examination: Difference between revisions
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*Dull percussion note | *Dull percussion note | ||
*Reduced breath sounds on the affected side of the chest. | *Reduced breath sounds on the affected side of the chest. | ||
*Egophony | |||
*Coarse crackles | |||
*Increased fremitus | |||
The above physical examination findings may be absent in some cases making the use of imaging studies an important component of diagnosis. | |||
==References== | ==References== | ||
Revision as of 15:18, 5 January 2017
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Empyema Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
On examination, the following findings may be seen:[1][2][3]
- Lateral chest wall swelling and tenderness.
- Clubbing of the fingernails
- Dull percussion note
- Reduced breath sounds on the affected side of the chest.
- Egophony
- Coarse crackles
- Increased fremitus
The above physical examination findings may be absent in some cases making the use of imaging studies an important component of diagnosis.
References
- ↑ Atay S, Banki F, Floyd C (2016). "Empyema necessitans caused by actinomycosis: A case report". Int J Surg Case Rep. 23: 182–5. doi:10.1016/j.ijscr.2016.04.005. PMC 5022073. PMID 27180228.
- ↑ Gomes MM, Alves M, Correia JB, Santos L (2013). "Empyema necessitans: very late complication of pulmonary tuberculosis". BMJ Case Rep. 2013. doi:10.1136/bcr-2013-202072. PMC 3863066. PMID 24326441.
- ↑ Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR (2011). "Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings". Ann Thorac Surg. 91 (6): 1969–71. doi:10.1016/j.athoracsur.2010.11.075. PMID 21619994.