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 Best of Five 225

 

   

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BOF: 225

A 63-year-old male is admitted with a history of cough and fever. He has a cough productive of purulent, blood-stained sputum and a swinging temperature.

On examination he is febrile, clubbed, tachycardic, tachypnoeic. The trachea is in the midline; respiratory movements are diminished in the right lower zone. Vocal fremitus is increased at the right base; percussion note in this area is dull. The breath sounds are amphoric in nature, vocal resonance is increased and whispering pectoriloquy is demonstrated. Localised crepitations (crackles) are audible in this area and there is a pleural rub.

In this patient which of the above physical signs is indicative of lung abscess :

a)      Clubbing

b)      Tachypnoea

c)      Whispering pectoriloquy

d)      Increased vocal resonance

e)      Amphoric breath sounds 

 

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