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18 Cards in this Set
- Front
- Back
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In the________ lung, the Midaxillary Line and Horizontal fissure intersect at the level of _______Rib? |
Right 5th |
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In the________ Lung the left oblique fissure superiorly is at the level of which spinous process? |
Left T3 |
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In the Left lung the midclavicular line is at the______Rib? |
6th |
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Tightness in the chest suggest issue is in the? |
Lung or chest wall |
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Pain in the Chest (mechanical most likely) Sharp = ? Dull = ? |
Sharp = Chest wall Dull = Chest wall OR Viscera |
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CHEST SYMPTOMS/CAUSES Cough can be caused by what? |
Bug, URTI Irritant Post nasal drip Asthma Chronic Bronchitis |
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CHEST SYMPTOMS/CAUSES What causes Dyspnea? |
Unfit, Exercising, Asthma, Emphysema, Cardiac issues |
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Examination Steps Summary |
Inspection Palpation of : Neck/General/Thoracic Expansion, Tactile Fremitus (vibration in Thorax. Pt say "99") Percussion Auscultation Comparison of 6 points posterior wall adequate |
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Chest Inspection |
Scars - Defib Box, Pacemaker Skeletal abnormals e.g. Pectus Excavatum, Barrel Chest Symmetry of Respiratory Movements, Tracheal Deviation Apex Beat = 5th ICS, MCL |
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What to Inspect Fingers/Nails? |
Cyanosis Temp Nicotine Stains Shamroths sign Splinter Palm Colour - Erhythmia, Carotenemia Capillary Return |
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What to inspect when looking at Face? |
Repiratory Effort - use of accessory muscles? Sclera - Jaundice or Anemia Xanthelasema - Yellow Cholesterol Deposits around eyes Malar Flush - Pulmonary HPT, Mitral Stenosis Teeth Infections - Source of Endocarditis Tongue and Lips - Central Cyanosis |
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What to look for in Neck Inspection? |
Carotid Artery Waveform - 1 at a time! Jugular Vein - Visible NOT palpable - Decrease on inspiration |
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If JVP is Raised what does this mean? |
Right Heart Failure! Tricuspid Stenosis/Regurg Pericardial constriction SVC Obstruction Fluid overload Hyperdynamic Circulation |
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Palpation of |
Cervical Nodes Tracheal Deviation General Tenderness AP and Lateral chest compression Apex Beat |
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Thoracic Expansion Test |
Patient Exhales Position Hands Patient Inhales Watch for Symmetry and Range |
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What are we looking for in Tactile Fremitus Testing? Which part of the hand are we using? What level do we start at? |
Feeling for air vibrating through lung tissue "blue moon" or "99" Using Volar surface of MCP joints or ulnar face of little finger MCP joints Level of the Spine of Scapula |
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Regarding Tactile Fremitus What does and Increase in Vibration tell us? What does and Decrease tell us? |
Increased = Excess Tissue = Mass/Consolidation Decreased = Excess Air = Asthma/Emphysema |
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PERCUSSION TONES What do we hear through the lung fields? |
Normal -Resonance Dull - Lung Consolidation/Mass Flat - Fluid in Pleural space Hyper Resonance/Tympany = Excess air in lungs/pleural space. |
