Possible Causes for decreased breath sounds 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] 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 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] 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] 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] 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] 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] 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] T-Cell Lymphoblastic Lymphoma Exp Mol Pathol. 2015 Oct;99(2):297-302. doi: 10.1016/j.yexmp.2015.07.012. Epub 2015 Jul 29. Author information 1 Department of Pathology, Shanxi Cancer Hospital and Shanxi Medical University, Taiyuan, Shanxi 030013, China. 2 Shanxi Medical University, Taiyuan, Shanxi, 030013, China. 3 Department of Pathology, Shanxi Cancer[…] [ncbi.nlm.nih.gov] Traumatic Pneumothorax Listening to the chest with a stethoscope may reveal decreased breath sounds on one side of the chest. [lutheranaugustanacenter.com] On primary exam the resident notes diminished breath sounds on the right, however he asks the question to the rest of the trauma team: “are the decreased breath sounds from [blogs.brown.edu] The classic clinical presentation for pneumothorax is one of sudden onset dyspnea, diminished breath sounds, decreased chest excursion, and hyperresonance to percussion [ [omicsonline.org] 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] Decreased breath sounds on the left and dullness on percussion were also noted. Drs Avra Lykouri, V. Archimandriti, V. Baili, and D. [patientcareonline.com] Shallow breathing and increased tenderness of the left thoracic wall were evident with palpation. [patientcareonline.com] 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] (but note may be asymptomatic) Signs: Tachycardia and tachypnoea Cyanosis Tracheal deviation Hyper-resonance to percussion Decreased breath sounds In tension pneumothorax [oxfordmedicaleducation.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. [medlineplus.gov] Foreign Body in the Bronchus breath sounds which seen in only 65% patients. [ijccm.org] 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] Acute Bronchitis Decreased breath sounds, crackles, wheezing, and rhonchi that clears with coughs may be heard in the chest. [en.wikipedia.org] Diagnosis[edit] Mild peri hilar cuffing as seen in viral bronchitis A physical examination will often reveal decreased intensity of breath sounds, wheezing, rhonchi, and prolonged [en.wikipedia.org] Congenital Emphysema Respiratory system examination revealed tachypnea with intercostal retraction, decreased breath sounds over the left upper lobe and room air saturation of 95%. [ijccm.org] On auscultation, there were decreased breath sounds on the right side of the chest. The cardiovascular system was normal. [journals.lww.com] 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 Trauma Breathing- decreased breath sounds at the left base. [bumc.bu.edu] False, decreased breath sounds on the affected side III. [quizlet.com] S/S of Simple/Closed Pneumothorax • Chest Pain • Dyspnea • Tachypnea • Decreased Breath Sounds on Affected Side 35. [slideshare.net] Atelectasis Decreased breath sounds in the region of atelectasis and possibly dullness to percussion and decreased chest excursion are detectable if the area of atelectasis is large. [merckmanuals.com] Physical examination: Decreased breath sounds and crackles are heard over the affected area. 13. [slideshare.net] Marked respiratory distress Dyspnea, tachycardia, Tachypnea, pleural pain, and central cyanosis Difficulty breathing in the supine position Anxious 12. [slideshare.net] 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] 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] Bronchitis Upon physical examination, decreased breath sounds, wheezing, rhonchi and prolonged expiration will be evident. [physio-pedia.com] High fever; moderate to severe ill-appearance; hypoxia; and signs of lung consolidation, such as decreased breath sounds, bronchial breath sounds, crackles, egophony, and [aafp.org] Symptoms are productive cough and dyspnea that develop over years; common signs include decreased breath sounds, prolonged expiratory phase of respiration, and wheezing. [msdmanuals.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] 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] Meigs Syndrome There will be decreased breath sounds and decreased tactile vocal fremitus. The effusion tends to be right-sided but can be bilateral. [patient.info] 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] 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] 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] Swyer-James Syndrome Physical examination showed markedly decreased breathing sounds in the right hemithorax with fine inspiratory crackles and expiratory wheezes. [ncbi.nlm.nih.gov] On examination of her chest, there was a scoliosis, decreased chest expansion on the left side with accompanying decreased breath sounds and crepitations. [wits.ac.za] […] to the right side and decreased breath sounds on the right side with bilateral coarse crackles and rhonchi were heard in the lower lung fields. [jemds.com] Traumatic Pneumocephalus The initial assessment was significant for a blood pressure at 104/72 mm Hg, heart rate at 124 beats per minute, decreased breath sounds in the left chest with agonal respirations [westjem.com] Subcutaneous emphysema was palpated over the left chest, decreased breath sounds were noted and hypotension worsened, suggestive of tension pneumothorax. [ijcasereportsandimages.com]
