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20 Cards in this Set

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Tension Pneumothorax
Increasing respiratory distress, altered level of consciousness, distended neck veins, deviation of the trachea to the side of the chest opposite the tension pneumothorax, tachycardia, low blood pressure, cyanosis, and decreased breath sounds on the side of the pneumothorax
Simple Pneumothorax
Common findings are similar to other types of pneumothoraces: dyspnea increased work of breathing exhibited as increased rate; tachypnea, and accessory muscle use; and decreasing oxygen saturation on the pulse oximeter. Late findings can be decreased breath sounds on the injured side as well as lethargy and cyanosis.
Spontaneous Pneumothorax
Patient experiences sudden sharp chest pain and increasing difficulty breathing. A portion of the affected lung collapses, losing its ability to ventilate normally.
Pneumothorax
Sudden chest pain with dyspnea
If the lung is colapsed past 30% to 40% you may hear diminished breath sounds on that side of the chest.
Chest Injuries
Pain at the site of injury, Pain localized at the site of injury that is aggravated by or increased with breathing. Bruising to the chest wall. Crepitus with palpation of the chest. Any penetration injury to the chest. Dyspnea. Hemoptysis. Failure of one or both sides of the chest to expand normally with inspiration. Rapid, weak pulse and low blood pressure. Cyanosis around the lips or fingernails
Flail Chest
Paradoxical motion is the main sign of Flail Chest
Other symptoms of flail chest can include:
- Bruises, grazes, and/or discoloration in the chest area
- Telltale markings from a seat belt
- Chest pain
- Difficulty inspiration breathing
Traumatic Asphyxia
The sudden increase in inthathoracic pressure results in a characteristic appearance, including distended neck veins. cyanosis in the face and neck, and hemorrhage into the sclera of the eye, signaling the bursting of small blood vessels. these findings suggest an underlying injury to the heart and possibly a pulmonary contusion.
Closed Abdominal Injuries
in the abdomen, pain can often be deceiving because it is often diffuse in nature and may be referred from the site of injury to another location in the body.
Liver and spleen injuries
In patients with liver and spleen injuries, in whom there is bleeding into the peritoneal space, pain is referred to the shoulder. This finding is called the kehr sign when it involves injury to the spleen and pain in the tip of the left shoulder. However shoulder pain can be misleading and injury to the liver or spleen could possibly be overlooked if the shoulder is also injured or if the MOI suggest that an impact or injury may have occured in the shoulder girdle.
Kidney and Ureters damage
Pain that is following the angle from the lateral hip to the midline of the groin can be a result of damage to the kidneys or the ureters.
Asthma
Wheezing on inspiration/expiration.
Bronchospasm.
Anaphylaxis
Flushed skin or hives.
Generalized edema
Decreased blood pressure.
Laryngeal edema with dyspnea
Bronchitis
Chronic cough.
Wheezing.
Cyanosis.
Productive cough.
Congestive heart failure
Dependent edema.
Rales.
Paroxysmal nocturnal dyspnea.
Croup
Fever.
Barking cough
Mostly seen in pediatric patients.
Emphysema
Barrel chest.
Pursed lip breathing.
Dyspnea on exertion.
Pneumonia
Dyspnea.
Chills, fever.
Cough.
Dark sputum.
Pulmonary embolus
Sharp, pinpoint pain.
Dyspnea.
Sudden onset.
After childbirth or surgery.
Pertussis (whooping cough)
Coughing spells that can last for more than a minute, in which the child may turn red or purple.
Whooping sound.
Fever.
Mostly seen in pediatric patients.
Tuberculosis
Fever.
Coughing.
Fatigue.
Night sweats.
Weight loss.
If the lung infection becomes more severe, the patient will experience shortness of breath, coughing, productive sputum, bloody sputum, and chest pain.