Q: how to differentiate pleural effusion vs consolidation on PE?

[oreosandsake]

help?

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[CoolMusic]

help?

I believe Tactile Fremitus would be decreased over a pleural effusion and increased over consolidation

Hope this helps (and is correct)

 

[DragonWell]

I believe Tactile Fremitus would be decreased over a pleural effusion and increased over consolidation

Hope this helps (and is correct)

Yeah, I think you're right on.

"Fluid is distinguished from consolidation by noting diminished breath sounds and absence of fremitus with fluid, and bronchial breath sounds with "E" to "A" changes in consolidation"

-source: DeGowin's Diagnostic Examination

 

[Blesbok]

Also, pleural effusion decreases breath sounds where consolidation will caused bronchial breath sounds

 

[nowai]

Also, wouldn't the dullness to percussion change with position for a pleural effusion?

 

[paf]

dear

pleural effusion consolidation
1. shift of mediastinum to opposite side .No shift of mediastinum
as evident by shift of trachea on
palpation

2. decreased chest movements on affe usually no effect on movements
cted site

3. decrease vocal fremitus and resonance increased fremitus and resonance

4. Absent breath sounds Increased breath sounds

5. Fluid level can be determined by percussion

6. bronchial breathing above the level of fluid.


Hope things are crystal clear 🙂😛

 

[Blesbok]

Also, wouldn't the dullness to percussion change with position for a pleural effusion?

Yes, they would only be dull up to the level of the effusion. However, the same is true of consolidation since not all lobes are going to be consolidated.