See-saw chest movement is a sign of diaphragm fatigue rather than chest trauma. In addition, percussion may or may not be affected depending on if the lung is affected or there is excessive bleeding. Percussion is not assessed on a patient with broken ribs. Lung problems inside the lung pull the trachea toward themĪ patient with multiple right sided rib fractures would present with which the following findings? Lung problems outside the lung push the trachea away. Lung problems inside the lung pull the trachea toward them. Which of the following would most likely cause this finding? Palpation of the patient’s trachea reveals a tracheal shift to the right side. COPD is associated with decreased fremitus due to air trapping. Pleural effusions lack an attached or conducting airway to transmitvibrations. Consolidations such as pneumonia transmit vibrations very well. Pneumothorax is associated with decreased fremitus due to excessive air in the pleural space. Which of the following conditions would explain this? Increased tactile fremitus is noted in the patient’s right lower lobe.
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