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16 Cards in this Set
- Front
- Back
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Anatomy—Anterior Thorax
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sternum
costal cartliges |
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Anatomy—Posterior Thorax
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• Vertebra prominens
• Spine |
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Anatomy—Lungs
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• Right lung—three lobes
• Left lung—two lobes • Apex • Base • Midclavicular line (MCL) • Midaxillary line (MAL) • Pleura - Parietal - Visceral • Mediastinum or interpleural space • Bronchi - Right - Left • Alveoli • Diaphragm • External intercostal muscles • Accessory muscles |
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Physiology
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• Ventilation
• External respiration • Internal respiration • Control of breathing |
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Health History
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• Patient profile
- Age --Children and young adults: bronchiectasis, cystic fibrosis --Adults and older adults: chronic bronchitis, emphysema, pneumonia, lung cancer - Gender - Race -- African American: sarcoidosis -- Caucasian: cystic fibrosis |
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Past Health History
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• Prior respiratory problems
• Previous thoracic surgery • Allergies-symptoms and treatments • Special needs • Childhood illnesses • Pulmonary diagnostics - CXR, Mantoux, Influenza vaccine, Pneumonia vaccine |
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Family Health History
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• Allergies?
• Asthma? • Cystic Fibrosis? • Emphysema? • Cancer? • Bronchiectasis? • TB? |
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Social History
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• Alcohol, drug, or tobacco use
• Travel history • Work and home environment-exposures to environmental conditions • Difficulty performing ADL’s • Stress,effect on breathing • Medications for breathing |
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Health Maintenance Activities
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• Sleep
• Diet • Exercise • Use of safety devices • Health check-ups |
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Common Chief Complaints
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• Dyspnea
• Cough • Sputum • Chest pain • Hemoptysis |
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Characteristics of Chief Complaint
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Character
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Dyspnea
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• Pain?
• Sweating? • Dizziness? • Cough? • Chest tightness? |
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Cough
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• Productive
• Nonproductive • Loose |
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Sputum
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• Color
• Odor • Amount • Consistency • Hemoptysis |
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Chest Pain
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• Lack of nerve endings in the lung tissue
• Pleura has nerve endings • Sharp • Stabbing - Increases with deep breathing - Pleuritic |
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Wheezing
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• Inspiratory
• Expiratory • When does it occur? • Is it relieved with coughing? |
