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18 Cards in this Set
- Front
- Back
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Inspection A-P (anterior-posterior) Diameter |
A-P should be less than transverse in adults 1:2 -5-7
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Elevated A-P size means |
barrel chest, may be COPD in adults normal in children |
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percussion
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hyperextend middle finger, use opposite middle finger to do a quick flick on the wrist categorize as normal, dull, hypersonant |
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Diaphragmatic Excursion
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finding the level of diaphragmatic dullness on both sides. -ask patient to inspire deeply -level of dullness or excursion should go down 3-5cm symmetrically |
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Flat or dull percussion sound means
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pleural effusion or lobar pneumonia
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normal percussion sound means
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healthy lung or bronchitis
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Hyperresonant percussion sound means
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emphysema or pneumothorax
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Vesticular breath sounds are _____ pitched and heard over most of ______ fields
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low lung |
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Tracheal breath sound are heard over the _____
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trachea
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Bronchovesicular and bronchial sounds are heard _________ what is longer? inhalation or expiration |
inbetween longer |
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breath sounds are _______when normal lung is displaced by air (________) or fluid (________)
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decreased emphysema or pneumothorax pleural effusion |
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Breath sounds shift from _____ to _____ when there is fluid in ling (______)
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vesicular to bronchial pnemonia |
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extra sounds that originate in lungs and airways are called
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advenitious
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high pitched, rubbing hair between finger, known as rales
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crackles
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high pitched musical,
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wheeze can be stridor when upper airway ie croup |
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sound like snoring or gurgling. low pitched
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rhonchi
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Peak flow monitoring
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hand help, monitor function of those with asthma, peal flow correlates with the FEV1. take deep breath, ask them to exhale as fast as they can, repeat 3 times and report the average |
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Tactile Fremitus
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ask the pt to say 99 several times in a normal voice. palpate using ball of hand should feel vibrations coming through airway increased T.F. suggests consolidation of lung tissue. |
