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27 Cards in this Set
- Front
- Back
what is the term for using a light to shine through the sinuses during a physical?
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transillumination
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During Percussion, give me the type of sound you may hear over these? Bone, heart or liver, normal lungs, lungs with emphysema and stomach?
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Bone- flat
heart or liver- dull norm lungs- resonance emphysema- hyperresonance stomach, tympany |
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A depression in the lower portion of the sternum-possible murmurs-w or w.out Marfan's syndrome
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Pectus Excavatum
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Pigeon chest-displacement of sternum. increase in ap diameter-can occur with rickets, marfans, or kyphoscoliosis
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Pectus Carinatum
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cyclical-breathing increases then decreases til apnea
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chene-stokes
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increased rate & depth...but what's the term when it's caused by diabetic ketoacidosis
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Hyperventilation; Kussmaul's
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Inspiratory louder, low pitch, whole lung except upper sternum btw scapulae
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vesicular
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Insp & exp, sounds equal, med intensity & pitch, 1st & 2nd IC spaces, over main bronchus
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Broncho-vesicular
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exp longer, loud intensity, high pitch, over manubrium if at all heard
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Bronchial
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Insp/exp equal, very loud, high pitch, over trachea
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tracheal
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What lung sound do u expect to hear with fluid in airways or opening of collapsed alveoli?
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general crackles
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Breath sound associated with Obstructive pulmonary disease?
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Coarse crackles
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Breath sound assoc w/pneumonia, pulm fibrosis; A discontinuous popping in late inspiration "hair rubbing"
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Fine Crackles
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Breath sounds heard with secretions or tumor;a low rumble on exp by air moving thru narrowed tracheo-bronchial airways
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Sonorous Wheeze, "ronchi"
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Breath sounds heard with bronchospasm, asthma, heavy secretions;a musical high pitched whistle on insp. may clear w/cough
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Sibilant Wheezes
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**breath snds 2to inflammation and loss of pleural fluid;harsh cracking, leather rubbing, insp and exp or insp alone,subside when holds breath, cough doesn't clear
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Pleural Friction Rub
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Presents with ^tf, perc dull, ausc w.bronchial breath sounds, crackles, bronchophony, egophony, whisp pectoriloquy is likely?
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pneumonia
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Norm tf, resonant perc, norm to decr breath sounds and wheezes is likely?
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Bronchitis
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Decr tf, hyperresonant perc w.decr intensity of breath sounds, usually w.prolonged expiration is likely?
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Emphysema
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norm-decr tf, resonant-hyperresonant perc w.wheezes is likely?
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asthma
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norm tf, resonant perc w.crackles at base, maybe wheezes too is likely?
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Pulmonary Edema
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absent tf, dull to flat perc w.decr to absent breath sounds, bronchial sounds, egophony, whisp pect above effusion
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pleural effusion
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Decreased tf, hyperresonant perc w.absent breath sounds is likely?
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pneumothorax
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absent tf, flat perc w/decr to absent breath sounds is likely?
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atelectasis
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with hands at 10th rib with a 1" skin fold between thumbs is correct position for?
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Checking posterior excursion
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The average measure for diaphragmatic excursion is?
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5-7cm
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what's term for resonance being clear and intense when auscultating with pt repeating 99 or eee? when e turns to a? whispered words heard loud & clear?
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bronchophony; egophony; whispered pectriloquy
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