52 (15%) patients had respiratory system findings like dyspnoea on exertion, crepitations and
rhonchi. 70 (20%) patients had gastrointestinal system findings (aphthous ulcers, cheilitis, dental caries, upper abdominal tenderness, hepatosplenomegaly).
There were widespread
rhonchi, with no cyanosis or no finger clubbing.
There was harsh vesicular breathing accompanied with
rhonchi and crepitations in the left basal area.
In the patient's physical examination, the lung sounds were normal; there were no rales or
rhonchi. There were rhythmic heart sounds and no additional sound or murmur.
A total of 4% of patients with acute Q fever had
rhonchi at pulmonary examination compared with 22% in the control group (p = 0.005).
We also auscultated the patient's lungs, looking for
rhonchi. This auscultation was done in a supine position with the stethoscope placed in 6 different areas; 4 on the anterior chest and 2 on the lateral chest of each patient.
The patient's past medical history included scoliosis, acute lower back pain, right shoulder degenerative joint disease, atopic dermatitis, lymphadenitis,
rhonchi, insomnia, depression, and a long history of recurrent infections, particularly cutaneous staphylococcal and candida albicans infections, often accompanied by a purulent drainage.
Respiratory system examination revealed barrel shaped chest, distant breath sounds, early inspiratory crepitations and expiratory
rhonchi with raised jugular venous pressure.
Does stridor, wheeze or
rhonchi have also a musical quality?
Bilateral extensive rales and
rhonchi in the lungs were heard on auscultation and lung graphy revealed reticuloglandular appearance.
On chest examination, there were bilateral
rhonchi in middle and lower lobes and heart sounds wereabsent on left side and heard over the right side, rest of the examination was unremarkable.
On auscultation of chest, bilateral
rhonchi were present.
