Question

Read this Pulmonology Consult excerpt: On physical exam, the patient is alert. He takes occasional pauses when he says long sentences, but otherwise, he is not in any distress. He has an occasional cough during his exam. His skin is pink and dry, and his lips are moist. His heartbeat is regular in rate and rhythm, without a murmur. On lung examination, he has whispered pectoriloquy on the right side with decreased breath sounds. He does not have any retractions or nasal flaring noted. His liver and spleen are not large. According to the excerpt, what was found upon lung examination on the right side

Answer 1

In the lung on the right side it is possible to notice a "Whispered pectoriloquy."

Step-by-step explanation:

The "Whispered pectoriloquy" presented by the patient's right lung is a sound that the doctor is able to hear, through the stethoscope, coming from inside the right lung. This sound is detected when the doctor asks the patient to speak words and random numbers in a whispered way, if the doctor can hear these whispers clearly through the stethoscope (which must be located on the patient's back) it means that the patient has a problem breathing that allows the accumulation of fluid in the lung. If the patient does not have fluid accumulation in the lung, the doctor will not be able to hear the whispers clearly.

In the case presented above, the doctor was able to hear the whispers which means that the patient has fluid in the right lung.