bluestar
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An 74 old man has a cough. on auscultation of the right posterior chest, the patient's spoke"ee" sounds more like "ay". which of the following conditions on the right is most likely?
a, bronchopleural fistula
b, lower lobe consolidation
c, middle lobe atelecctasis
d, pleural effusione
e, pleural plaque
f, pneumothorax
g, sequestration
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| mani
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b, lower lobe consolidation
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| bluestar
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why is that? I think when the lung gets consolidates, the sound conduction should be more clear. As we remember from physics, solid objects conduct sound much better than anything else. Mani, can you justify your answer?
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| mani
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its describing increased vocal resonance which is seen in consolidation. do u know the answer?
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| bluestar
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so we have a basic difference of the understanding from "ee" to "ay", I thought it indicates decrease of resonence and you think the other way round. Also, wouldn't the sound be clearer as well in case of pleural effusion or plaque? Sorry I don't have corrrect answer for it.
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| mani
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no the resonance decreases in effusion
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| bluestar
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Oh, yeah. since the sound travels farther in that case. hmm, how about sequestration? and atelecctasis?
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| mani
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decreased in these cases as well
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