pearljam59
Forum Guru
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13. 74-yr man has a cough, on auscultation of the right posterior chest, his spoken “ee” sounds more like “ay”.
A. Bronchopleural fistula
B. Lower lobe consolidation
C. Middle lobe atelectasis
D. Pleural effusion
E. Pleural plaque
F. Pneumothorax
G. Sequestration
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| robin082006
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B?
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| yasmeen
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 b
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| pearljam59
Forum Guru
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OK I really dont understand the physical findings...explain.
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| yasmeen
Forum Guru
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IT MEANS THAT VOCAL RESONANCE HAS INCREASED.WHICH HAPPENS IN CONSOLIDATION.PLUS ANATOMIC LOCATION OF LOWER LOBE IS POSTERIOR.
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| fruit
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B...the clinical sign depicted is EGOPHONY=means nasal/bleating quality
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| fongch
Forum Elite
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I think it is D.
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| ManuNastai
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B
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| Allison
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B Transmission of the voice sound through the pulmonary structures so that it is unusually audible on auscultation of the chest, indicating either consolidation of the lung parenchyma or the presence of a large cavity.
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| myba
Forum Newbie
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Egophony (British: Aegophony) is an increased resonance of voice sounds heard when auscultating the lungs, often caused by consolidated or compressed lung tissue due to a infection, pleural effusion, tumor, or congestion. It is due to enhanced transmission of high-frequency noise across fluid, such as in abnormal lung tissue, with lower frequencies filtered out. It results in a high-pitched nasal or bleating quality in the affected person's voice.
While listening to the lungs with a stethoscope, the patient is asked to say the letter "e." What is heard is a higher pitched sound that sounds like the letter "a." (Some doctors refer to this as "e to a changes.") Most commonly, this indicates pneumonia.
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| new_n_lost
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B. Lower lobe consolidation
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