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Respiratory Therapist

Category - Patient Evaluations and Recommendations

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Upon physical exam, you note the patient has decreased breath sounds, lag on one side of the chest with ventilation, and an occasional pleural rub.

What diagnosis is consistent with these findings?

Pleural effusion
Emphysema
Atelectasis
Pneumonia

Explanation

Answer: A - Pleural effusion is indicated when breath sounds are decreased and there is an occasional pleural rub with a lag on one side of chest.

Other physical findings of a pleural effusion patient would be dullness over affected area with percussion and increased fremitus in presence of consolidation with decreased fremitus in presence of concomitant emphysema or pleural effusion.

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