Both clinical symptoms (fever, cough, sputum production, tachypnea, tachycardia, and egophony
) and chest X-ray findings of new lung infiltrates were used in the diagnosis.
He had diminished breath sounds and increased egophony
on his right side.
His cardiac examination was normal and the lung examination revealed dullness to percussion at the right base, along with bronchial breath sounds and increased resonance of vocal sounds (i.e., egophony
) over the right lung base.
is assessed by asking the patient to repeat the letter "e," while whispered pectoriloquy is assessed by asking the patient to whisper the phrase "12-3" while the nurse auscultates the chest wall.
Examination was remarkable for increased tactile vocal fremitus on left lung with bronchial breath sounds and egophony
. Labs showed WBC = 15.3 K/[cc.sup.3], Hb = 14.7 mmHg, and Plt = 120 K/[cc.sup.3], while his electrolytes were normal.
Of the potential signs, egophony
(LR+ = 2.0-8.6), bronchial breath sounds (LR + 3.5), dullness to percussion (LR + = 2.2-4.3), and decreased breath sounds (LR + = 2.3-2.5) have the best likelihood ratios for predicting the presence of consolidation.
The lung sounds were: normal vesicular breath (n = 1), decreased breath (n = 1), wheezes (n = 2), crackles (n = 2), stridor (n = 1), tubular breath (n = 1), egophony
(n = 1), and friction rub (n = 2).
Bronchial breath sounds and egophony
below the angle of the left scapula due to bronchial compression may also be found.