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most common at age 6 months- does not occur after age 2
Pleural effusion
-fremitus, percussion, whispered pectoriloquy, breath sounds
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frem= decreased
perc=dull
whis pect= decreased
breath sounds= decreased
,BP
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CO x SVR
Pectus carinatum
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at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth
spurt
-convex deformity
-97% have MVP
Barrel Chest
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associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as
diaphragmatic flattening
Auscultation: bronchial
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, louder and higher in pitch; usually heard over the manubrium
Septal MI
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V1, V2
Order of lung exam
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inspect, palpate, percuss, auscultate
Heart murmur grade
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Grade 1- Barely audible
Grade 2- quiet but audible
grade 3- moderate
grade 4- loud
grade 5- loud with palpable thrill
grade 6- very loud, heard with stethoscope almost off the chest wall and
has a palpable and visible thrill