Resp Assessment
Terms
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- what is the term for using a light to shine through the sinuses during a physical?
- transillumination
- 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 - A depression in the lower portion of the sternum-possible murmurs-w or w.out Marfan's syndrome
- Pectus Excavatum
- Pigeon chest-displacement of sternum. increase in ap diameter-can occur with rickets, marfans, or kyphoscoliosis
- Pectus Carinatum
- cyclical-breathing increases then decreases til apnea
- chene-stokes
- increased rate & depth...but what's the term when it's caused by diabetic ketoacidosis
- Hyperventilation; Kussmaul's
- Inspiratory louder, low pitch, whole lung except upper sternum btw scapulae
- vesicular
- Insp & exp, sounds equal, med intensity & pitch, 1st & 2nd IC spaces, over main bronchus
- Broncho-vesicular
- exp longer, loud intensity, high pitch, over manubrium if at all heard
- Bronchial
- Insp/exp equal, very loud, high pitch, over trachea
- tracheal
- What lung sound do u expect to hear with fluid in airways or opening of collapsed alveoli?
- general crackles
- Breath sound associated with Obstructive pulmonary disease?
- Coarse crackles
- Breath sound assoc w/pneumonia, pulm fibrosis; A discontinuous popping in late inspiration "hair rubbing"
- Fine Crackles
- Breath sounds heard with secretions or tumor;a low rumble on exp by air moving thru narrowed tracheo-bronchial airways
- Sonorous Wheeze, "ronchi"
- Breath sounds heard with bronchospasm, asthma, heavy secretions;a musical high pitched whistle on insp. may clear w/cough
- Sibilant Wheezes
- **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
- Pleural Friction Rub
- Presents with ^tf, perc dull, ausc w.bronchial breath sounds, crackles, bronchophony, egophony, whisp pectoriloquy is likely?
- pneumonia
- Norm tf, resonant perc, norm to decr breath sounds and wheezes is likely?
- Bronchitis
- Decr tf, hyperresonant perc w.decr intensity of breath sounds, usually w.prolonged expiration is likely?
- Emphysema
- norm-decr tf, resonant-hyperresonant perc w.wheezes is likely?
- asthma
- norm tf, resonant perc w.crackles at base, maybe wheezes too is likely?
- Pulmonary Edema
- absent tf, dull to flat perc w.decr to absent breath sounds, bronchial sounds, egophony, whisp pect above effusion
- pleural effusion
- Decreased tf, hyperresonant perc w.absent breath sounds is likely?
- pneumothorax
- absent tf, flat perc w/decr to absent breath sounds is likely?
- atelectasis
- with hands at 10th rib with a 1" skin fold between thumbs is correct position for?
- Checking posterior excursion
- The average measure for diaphragmatic excursion is?
- 5-7cm
- 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?
- bronchophony; egophony; whispered pectriloquy