Pulmonology Book

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Succussion Splash

Aka: Succussion Splash
  1. Indication
    1. Diagnosis of Hydropneumothorax (Bronchopleural Fistula)
  2. Pathophysiology
    1. Pleural Fluid in absence of Pneumothorax is silent
    2. In hydropneumothorax, chest contains air and fluid
      1. When patient moves, splash sound is audible
  3. Technique
    1. Examiner auscultates lungs while:
      1. Patient moves OR
      2. Assistant grasps patients Shoulders and shakes
  4. Differential Diagnosis of splash sound auscultated
    1. Bronchopleural Fistula
    2. Diaphragmatic Hernia

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