How to properly auscultate the lung with pleural effusion?!
Question:
How to properly auscultate the lung with pleural effusion?
how to do it and,where part can you exactly hear the dullness and flatness sound. please use medical terms to describe the location. if u have any other suggestions to make feel free. thanks a lot...(",)
p.s. pleural effusion is on the left lung, secondary to pulmonary tuberculosis
Answers:
Hi,
You're med/paramed ? If yes, it should be pretty easy for you.
1. You better check you patient chest by doing percussion first. Patient must be sit, naked (bare skin). Percussion your patient, hear the different between dry part of lung and drown part. Mark them with pen. Pretty easy to differ.
You can also use coin to differ them. Tell someone to put a coin in your patient chest or posterior lung. Click the coin with another coin (make clicking sound). Listen with stet, in the opposit side, clicking sound will gone/decrease in drown lung.
Doing this from apex to basis pulmo, from near back bone or sternal part of lung, to outer part of lung.
2. When you differ them, you simply put your stetoscope and hear : decreased / absent of breathing sound.
Aw, it's pretty hard to explain than to do it myself, ha ha ha. I'm not good tutor. Check this site, maybe can help you better.
(they have picture on it).
Good luck.