Which physical findings are characteristic of bilateral diaphragmatic paralysis?

Updated: Oct 10, 2018
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Chest examination reveals limitation of diaphragmatic excursions and bilateral lower chest dullness with absent breath sounds. Patients are tachypneic and use accessory respiration muscles. The diagnostic finding is a paradoxical inward movement of the abdomen with inspiration.


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