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Respiratory symptoms and physical signs 

Respiratory symptoms and physical signs

Respiratory symptoms and physical signs

Huw Llewelyn

, Hock Aun Ang

, Keir Lewis

, and Anees Al-Abdullah

Page of

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date: 20 August 2017

Chest pain—sharp and aggravated by breathing or movement - Sudden breathlessness, onset over seconds - Acute breathlessness, wheeze ± cough - Chronic breathlessness - Frank haemoptysis (or sputum streaked with blood) - Cough with sputum - Persistent dry cough with no sputum - Hoarseness - Some thoughts when examining the respiratory system - Appearance suggestive of blood gas disturbance - Respiratory rate low (<10/min) - Chest wall abnormalities - Bilateral poor chest expansion - Unilateral poor chest expansion - Trachea displaced - Reduced tactile vocal fremitus - Increased tactile vocal fremitus - Stony dull percussion - Dull to percussion but not stony dull - Hyper-resonant percussion - Reduced breath sounds - Bronchial breathing - Fine inspiratory crackles - Coarse crackles - Pleural rub - Stridor ± inspiratory wheeze - Inspiratory monophonic wheeze - Expiratory monophonic wheeze - Expiratory polyphonic, high-pitched wheeze

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