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Lung Auscultation and Physical Exam Findings in Selected Lung Disorders

#PhysicalExam #Auscultation #Pulmonary #Percussion #Dullness #Fremitus #BreathSounds

Lung Auscultation ... Disorders #PhysicalExam ... #Auscultation #Pulmonary ... #Transmitted #Comparison ... #Table #Lung #Diagnosis

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... centrilobular nodules ... Sarcoidosis: nodules ... #Pattern #Comparison ... #Table #RadiologyAssistant

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

diseases with a nodular ... centrilobular nodules ... Diagnosis #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

Nodular pattern( ... Sarcoidosis: nodules ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant

The distribution of nodules shown on HRCT is the most important factor in making an accurate

randomly distributed relative ... structures of the lung ... Diagnosis #Radiology #Pulmonary ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant

Characteristics of Selected Pneumonias

Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci.
Haemophilus influenzae. Pleomorphic gram-negative coccobacilli.
Staphylococcus aureus. Plump

Plump gram-negative ... Gram-negative rods ... Patterns #Diagnosis #Comparison ... #Table #Presentation ... #Pulmonary

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

Upper lung zone ... - Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #Differential #Table ... #Upper #Lower #RadiologyAssistant

Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes

centrilobular nodules ... irregular and often nodular ... identified in the lung ... Pathophys #Radiology #Pulmonary ... TreeInBud #Diagram #RadiologyAssistant

The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-

result in decreased lung ... - Emphysema - Lung ... Diagnosis #Radiology #Pulmonary ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

Nodular LCH: - Sarcoidosis ... #Differential #Comparison ... #Table #RadiologyAssistant

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