Decreased Breath Sounds: Causes & Reasons

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Possible Causes for Decreased Breath Sounds

Pleural Effusion

Patient was in mild distress and had decreased breath sounds over right lung fields about halfway up with dullness to percussion. [ncbi.nlm.nih.gov]

Physical exam is notable for a woman with increased work of breathing and decreased breath sounds over the right lower lobe. [step2.medbullets.com]

The physician will listen to the chest with a stethoscope for signs of decreased breath sounds or a pleural friction rub--the sound of pleura rubbing together during respiration [blausen.com]

Alpha-1 Antitrypsin Deficiency

A physical examination may reveal a barrel-shaped chest, wheezing, or decreased breath sounds. [nlm.nih.gov]

breath sounds. [ufhealth.org]

[…] other symptoms of COPD Symptoms of liver failure Loss of weight without trying Wheezing Exams and Tests A physical examination may reveal a barrel-shaped chest, wheezing, or decreased [ufhealth.org]

Acute Pancreatitis

He was tachypneic with decreased breath sounds bilaterally. However, he was alert and oriented. [pancreas.imedpub.com]

Additionally, decreased breath sounds with dullness to percussion and decreased vocal fremitus may be discovered, as right-sided or bilateral pleural effusions are relatively [clinicaladvisor.com]

Physical examination demonstrated a distended abdomen, decreased bowel sounds, and diffuse tenderness to palpation. [pancreas.imedpub.com]

Pleural Mesothelioma

breath sounds. [cancernetwork.com]

[…] patients who have received multimodality therapy.[5] On physical examination, most mesothelioma patients with early disease manifest only signs of pleural effusion such as decreased [cancernetwork.com]

Non-Small Cell Lung Carcinoma

Non-small-cell lung carcinoma Micrograph of a squamous carcinoma, a type of non-small-cell lung carcinoma. FNA specimen. Pap stain. Specialty Oncology Non-small-cell lung carcinoma (NSCLC) is any type of epithelial lung cancer other than small cell lung carcinoma (SCLC). NSCLC accounts for about 85% of all lung[…] [en.wikipedia.org]

Small-Cell Carcinoma of the Lung

Metastasis from small-cell carcinoma of the lung (SCCL) has most frequently been found in the lymph nodes, bones, brain, and liver. We have reported a case of metastatic SCCL located in the uveal layer of both eyes (choroidal in one and iridic in the other), an extremely rare occurrence. [ncbi.nlm.nih.gov]

Primary Mediastinal Large B-Cell Lymphoma

Primary mediastinal large B-cell lymphoma (PMLBCL) is a distinct disease entity that has a relatively short history. The prognosis and therapy of patients with PMLBCL is still controversial. We summarize our experience with PMLBCL at the Medical University of South Carolina between 1997 and 2000. [ncbi.nlm.nih.gov]

Hemothorax

Patients with large hemorrhage volume are often dyspneic and have decreased breath sounds and dullness to percussion (often difficult to appreciate during initial evaluation [merckmanuals.com]

Foreign Body Aspiration

RESULTS: Penetration syndrome (sudden onset coughing, choking and gagging) (89.2%) and decreased breath sounds (86.5%) were the most common clinical features. [ncbi.nlm.nih.gov]

The physical examination reveals decreased breath sounds over the right lower lobe with inspiratory rhonchi and localized expiratory wheezing. [smartypance.com]

Decreased breath sounds and wheezing on examination were independently associated with increased odds of foreign body. [ncbi.nlm.nih.gov]

Pneumothorax

He suddenly develops increased respiratory distress, pleuritic chest pain, and decreased breath sounds in the right chest. [step2.medbullets.com]

[…] incursion on one side, possibly decreased breath sounds especially at the apex on that side, and slight mediastinal deviation to the other side) or by radiology - always [en.wikiversity.org]

Tension pneumothorax will typically present with decreased or absent breath sounds on the affected side. The trachea may be deviated to the opposite side. [clinicaladvisor.com]

Traumatic Pneumothorax

breathing movement, anxiety, weak pulse, decreased breath sounds on the affected side, or a shift of the chest wall to the opposite side. [traumasurvivorsnetwork.org]

[…] chest movement ipsilaterally Hyper-resonance ipsilaterally Decreased breath sounds ipsilaterally Bedside ultrasound can rapidly confirm pneumothorax Management High flow [lifeinthefastlane.com]

anxiety, bulging neck veins, weak pulse, decreased breath sounds on the affected side, or shift of the chest wall to the opposite side. [traumasurvivorsnetwork.org]

Primary Apnea

2015 ICD-9-CM Diagnosis Code 770.81 Primary apnea of newborn 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 Newborn/Neonate Only Dx (0 years) ICD-9-CM 770.81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 770.81 should only be used for claims with[…] [icd9data.com]

T-Cell Lymphoblastic Lymphoma

Advertisement Lymphoma and plasma cell neoplasms Precursor lymphoid neoplasms T cell lymphoblastic lymphoma / leukemia Topic Completed: 1 August 2011 Revised: 5 March 2020 Copyright: 2002-2020, PathologyOutlines.com, Inc. PubMed Search: "T lymphoblastic" AND leukemia/lymphoma [title] Advertisement Page views in 2019:[…] [pathologyoutlines.com]

Foreign Body in the Bronchus

Physical exam is significant for decreased breath sounds on the right. What is the most appropriate definitive management in this patient? [medbullets.com]

Examination Asymmetrical chest movement Tracheal deviation Chest signs such as wheeze or decreased breath sounds. The respiratory examination may be completely normal. [rch.org.au]

Foreign body aspiration differs in the presence of unilateral wheezing and decreased breath sounds. [emedicine.medscape.com]

Chest Trauma

Breathing- decreased breath sounds at the left base. [bumc.bu.edu]

False, decreased breath sounds on the affected side III. [quizlet.com]

Tracheal Foreign Body

Examination Asymmetrical chest movement Tracheal deviation Chest signs such as wheeze or decreased breath sounds. The respiratory examination may be completely normal. [rch.org.au]

Foreign body aspiration differs in the presence of unilateral wheezing and decreased breath sounds. [emedicine.medscape.com]

breath sounds, or signs of consolidation suggesting collapse of a lobe/segment In some children there will be no abnormal findings. [kidshealthwa.com]

Rheumatoid Lung Disease

Or, there may be decreased breath sounds, wheezing, a rubbing sound, or normal breath sounds. When listening to the heart, there may be abnormal heart sounds. [nlm.nih.gov]

Compression Atelectasis

breath sounds DULLNESS to percussion CXR: opaque lung section AT of the lower love may cause upwardly domed hemidiaphragm. [quizlet.com]

In a medical examination a doctor may be able to detect decreased breath sounds on the involved side. [wisegeek.com]

Upon physical examination, decreased breath sounds may be noted on auscultation, along with dullness upon percussion. [ 1, 8, 11 ] Atelectasis: Clues to Its Diagnosis After [howshealth.com]

Congenital Emphysema

On auscultation, there were decreased breath sounds on the right side of the chest. The cardiovascular system was normal. [journals.lww.com]

Respiratory system examination revealed tachypnea with intercostal retraction, decreased breath sounds over the left upper lobe and room air saturation of 95%. [ijccm.org]

Physical examination typically reveals decreased breath sounds over the involved lobe. The cardiac apex may be displaced if marked mediastinal shift is present. [prognosisapp.com]

Chest Wall Injury

Decreased breath sounds can result from pneumothorax or hemothorax ; percussion over the affected areas is dull with hemothorax and hyperresonant with pneumothorax. [merckmanuals.com]

S/S of Simple/Closed Pneumothorax • Chest Pain • Dyspnea • Tachypnea • Decreased Breath Sounds on Affected Side 35. [slideshare.net]

Foreign Body in the Larynx

Foreign body aspiration differs in the presence of unilateral wheezing and decreased breath sounds. [emedicine.medscape.com]

Examination Asymmetrical chest movement Tracheal deviation Chest signs such as wheeze or decreased breath sounds. The respiratory examination may be completely normal. [rch.org.au]

Only 65% will have triad of cough, wheeze, and decreased breath sounds! Can be asymptomatic! [pedemmorsels.com]

Catamenial Pneumothorax

Her physical examination was significant for decreased breath sounds at the right lung base. [ncbi.nlm.nih.gov]

Abstract A 39-year-old woman presented with the chief complaint of right-sided chest pressure and shortness of breath with dry cough for 3 days. [liebertpub.com]

Physical examination was remarkable for decreased breath sounds and hyperresonance over the right hemithorax. Her labs were unremarkable. [amjmed.org]

Traumatic Rupture of Pulmonary Vessels

Unilaterally decreased breath sounds may indicate the presence of hemothorax or pneumothorax. If the patient has an endotracheal tube in place, assess the depth ... [accessmedicine.mhmedical.com]

Clinical Findings: Breath sounds will be decreased on the affected side. Pleuritic pain may not develop for hours. [madsci.com]

Empyema

Weight loss (unintentional) Exams and Tests The health care provider may note decreased breath sounds or an abnormal sound (friction rub) when listening to the chest with [mountsinai.org]

She was dehydrated and had a poor oral hygiene and decreased breath sounds on the right side. Chest radiograph showed a large right pleural effusion. [journals.lww.com]

[…] breathe in deeply (pleurisy) Dry cough Excessive sweating, especially night sweats Fever and chills General discomfort, uneasiness, or ill feeling ( malaise ) Shortness of breath [mountsinai.org]

Spontaneous Pneumothorax

There will be decreased breath sounds on the affected side and hyperresonance to percussion. What is the most likely cause for a spontaneous pneumothorax? [quizlet.com]

[…] note, diminished fremitus and diminished or decreased breath sounds. [aafp.org]

Examination may be abnormal (decreased breath sounds, symmetric chest rise, etc); however, small Ptx’s or Ptx’s in smaller children may produce no identifiable physical exam [pedemmorsels.com]

Chylothorax

There was a dull percussion note and decreased breath sounds over the right lower lung field. The abdomen was protuberant and diffusely tender. [nejm.org]

breath sounds at both lung bases. [baillement.com]

breath sounds  Shifting dullness 11.  Congenital Chylothorax-Fluid initially clear but turns turbid with milk feeding 12.  The effusion may be unilateral, either right [de.slideshare.net]

Obstructive Atelectasis

Large sections of lung collapse may lead to areas of dullness and decreased chest expansion. Breath sounds may also be reduced in such regions. [symptoma.com]

Percussion dull over affected area Auscultation breath sounds decreased or absent over involved area no adventitious sounds if bronchus is obstructed occasional fine crackles [rnceus.com]

PHYSICAL FINDINGS & CLINICAL PRESENTATION • Decreased or absent breath sounds • Abnormal chest percussion • Cough, dyspnea, decreased vocal fremitus and vocal resonance • [encyclopedia.lubopitko-bg.com]

Congenital Malformation of the Lung

Mediastinal shift may be present, with hyperresonance and decreased breath sounds on the involved side. [emedicine.medscape.com]

breath sounds, cardiac shift, hyperresonance • Large lesions may cause hypoplasia of normal lung • Unusual cause of fetal hydrops • Type I : one or more large cysts (>2cm [learningradiology.com]

The lungs were clear to both percussion and auscultation, except for a decreased breath sound at the left upper lobe apex. [dovepress.com]

Meigs Syndrome

Physical exam shows tachypnea, tachycardia, decreased breath sounds and tactile fremitus. [symptoma.com]

There will be decreased breath sounds and decreased tactile vocal fremitus. The effusion tends to be right-sided but can be bilateral. [patient.info]

Dullness to percussion of the chest, decreased breath sounds and decreased tactile fremitus (transmitted sounds in the lungs) can indicate pleural effusions. [symptoma.com]

Unresolved Pneumonia

[…] vocal fremitus, decreased or NO breath sounds on affected side, tympany on percussion, tracheal deviation to opposite side CXR may show mediasinal shift! [quizlet.com]

and decreased breath sounds; tachypnea (a respiration rate greater than 20 breaths/min); sinus tachycardia; and pleuritic chest pain. 9 The key feature distinguishing acute [consultant360.com]

Chest auscultation revealed decreased breath sounds and scanty crackles in the right mammary area. Examination of other systems was normal. [rc.rcjournal.com]