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?A. "Whispered pectoriloquy" - a chest that protrudes like the keel of a ship when the patient whispersB. "Whispered pectoriloquy" - "speaking from the chest"; used as a means of finding masses in the lung. The whispered word is audible in areas where fluid or a mass is presentC. "Retractions" - reverberations in the chest when it is struckD. "Retractions" - a dull sound in the chest when it is struckE. "Whispered pectoriloquy" - a chest that is hollowed out when the patient whispers

Answer 1

Answer:

B. "Whispered pectoriloquy" - "speaking from the chest"; used as a means of finding masses in the lung. The whispered word is audible in areas where fluid or a mass is present

Explanation:

Auscultation in medicine, is the action of listening to sounds from the heart, lungs, or other organs, usually using a stethoscope, in order to perform medical diagnosis.

Auscultation is performed for the purposes of examining the circulatory and respiratory systems, as well as the alimentary canal. The procedure is best performed in a quiet examination room. A stethoscope is used to magnify internal sounds. Small changes in breath sounds are carefully observed in order to make a diagnosis.

Whispered pectoriloquy is used to detect vocal resonance. It is  used as a means of finding masses (consolidations e.g. pus) in the lung and is performed by having the patient quietly whisper a word. If fluid or a mass is present, words that are whispered may be heard clearly.