Respiratory Flashcards

1
Q

methods of examining paranasal sinuses

A

external and insternal inspection, palpation, auscultation, percussion, smelling

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2
Q

11 things to check with nose and paranasal sinuses

A
Shape
form of nose, 
occurrence of nasal stridor, 
expired air, 
occurrence of nasal discharge, 
nasal plane, 
nasal openings, 
mm, 
palate, 
nasopharynx, 
paranasal and  frontal sinuses
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3
Q

Normal nose noise

A

= faint regular noise during expiration

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4
Q

definition of stridor

A

narrowed air passages

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5
Q

Nasal stridor

A

– sniffling sound

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6
Q

Pharyngeal stridor

A

– snoring sound

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7
Q

Laryngeal stridor

A

– soft sawing sound

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8
Q

Collapsed trachea –

A

expiratory. Tooting sound

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9
Q

Larynx paralysis

A

– inspiratory stridor

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10
Q

Narrow trachea, bronchus

A

– mixed stridor

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11
Q

abnormal sounds

A

– purring, pain caused noises, groaning, howling, alteration of voice, noiseless, panting

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12
Q

what to measure in expired air

A

– strength, symmetry, temperature, odor, smell

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13
Q

what to check with nasal discharge

A

– continuity (permanent or periodic) side, quantity, quality, consistency (watery, mucous mucopurulent, hemorrhagic, foamy, food, foreign material, debris), colour, odor, smell

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14
Q

what to check with nasal plane

A

surface, colour, moisture

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15
Q

what to check with nostrils

A

shape, width, moveability, symmetry, mm

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16
Q

what to check with nasopharynx

A

abnormalities, mm

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17
Q

methods of examining paranasal and frontal sinuses

A

Inspection, palpation, percussion, endoscopy, x ray, CT, MR, diagnostic punction

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18
Q

names of the sinuses

A

– maxillares, frontalis, lacrimalis, palatinus, sphendoidalis, frontalis, ethmoidale, sphenopalatinae

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19
Q

definition of coughing

A

. Occurs via stimulation of airways from larynx to larger bronchi

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20
Q

what to check with cough (10)

A
origin
frequency
stregnth
tone
occurrence
duration
secretion content
pain
deepness
quality of sputum
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21
Q

laryngeal cough

A

– episodical, heavy, gagging/retching, tendency to vomit

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22
Q

laryngeal paralysis cough

A

deep long cough

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23
Q

tracheitis cough

A

loud, explosive barking like

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24
Q

tracheal collapse cough

A

goose honking

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25
Q

bronchi acute cough

A

pattern

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26
Q

bronchi chronic cough

A

mucus, pus, wet, rough

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27
Q

cardiac disease cough

A

wet

hacking

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28
Q

pneumonia cough

A

soft

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29
Q

bronchitis cough

A

short, weak, dry

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30
Q

stimulated cough

A

medium held, unsnapping, medium intensive, medium depp, dry, sharp, painless, does not recur

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31
Q

inspection of larynx and pharynx

A
skin, 
deformatiy
swelling
symmetry.
Epiglottis
nasopharynx (symmetry, synchronous movement of arytenoids, rima glottidis, colour capillaries, deformation of mm)
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32
Q

palpation of larynx and pharynx

A
form
outline
muscles
surface of larynx
abnormal masses 
compressionability 
press sensitivity of arytenoids
temperature
painfulness
fremitus
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33
Q

tonsils description

A
size
shape
semilunar fold
colour
surface
symmetry
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34
Q

palpation of thorax

A

temp
fremitus pectoralis
painfulness
deformities

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35
Q

chest examination

A
skin
size
shape
bilateral symmetry
local deformaties
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36
Q

normally increased frequency

A

movement, excitement, work, high, temp, obestity, pregnancy

37
Q

abnormal increased frequency

A

fever, hypoxia, hypercapnia, pain

38
Q

decreased abnormally frequency

A

cns disease, barbiturate toxicosis, shock, agony

39
Q

normal breathing rhythm

A

= periodic rhythmical inspiration and expiration, inspiration is slightly longer

40
Q

held inspiration

A

narrowed upper airway, higher abdominal pressure

41
Q

held expiration

A

= decreased lung elasticity, microbronchitis

42
Q

shorter inspiration or expiration

A

inhibition about pain

43
Q

asymmetrical breathing

A

= one main bronchus obstruction, pain in one chest

44
Q

normal intermittent inspiration

A

during excitement, long exhausting work

45
Q

abnormal intermittent breathing

A

at painy chest disorder

46
Q

Hollow box sound –

A

low, more intensive, shorter and more non musical then the tympanic sound

47
Q

Metallic sound –

A

pneumothorax, large cavern within the lung, prolapsed stomach or intesting in the thoracic cavity, subcut emphysema

48
Q

Cracked pot sound –

A

if there is a cavern filled with gas and located under the chest wall which communicates with a bronchus, small subcut emphysema

49
Q

forms of tympanic sounds

A

sharp
weak
high
low

50
Q

cause of tympanic sounds

A
abdominal organ filled with gas
cavern in lung
pneumothorax
pericarditis
emphysema
atelectatic parenchyma around the normal lung,
51
Q

Relative or incomplete dullness

A

– weak, high, short, non musical

52
Q

Absolute dullness

A

– weaker and shorter

53
Q

cause of dullness

A

thickened thoracic wall
decreased gas content of the lungs (caused by hydrothorax, pleuritis, hemothroax)
atelectatic abdominal organs
atelectactic solid masses or fluid filled masses

54
Q

main percussion sounds

A

sonorous/ resonant
damped/dull
tympanic

55
Q

sonorous/ resonant

A

fairly low, strongly resonant (air containing organ)

56
Q

damped/dull

A

– short sound of low intensity (any organ not containing gas – liver)

57
Q

tympanic percussion sounds

A

– stronger, longer, higher than sonorous (hollow gas containing organ e.g. gastric volvulus

58
Q

direct percussion

A

finger to finger

59
Q

indirect percussion

A

plessimeter and percussion hammer

60
Q

cause of abnormal shallow breathing depth

A

severe dyspnea
painful diaphragm
chest diseases
respiratory centre damage

61
Q

causes of abnormal deep

A

after fast movement, at hypoxia,

62
Q

sound definition

A

= combination of vibrations with different frequencies

63
Q

noise definition

A

no special underlying relation among frequencys

64
Q

direction of airflow

A

from high to low pressure

65
Q

normal/ basic resp sound

A

above thorax
f sound
soft, blowing sound

66
Q

bronchial sound

A

strong audible blowing sound
above the normal larynx and trachea
lung contains less air
h sound

67
Q

bronchial like sound

A
deeper
softer
harsher
f and h sound
above cranial thorax
68
Q

3 types of dysponea

A

nspiratory, expiratory and mixed

69
Q

cause of inspiratory dyspnea

A

narrowed upper airway, pneumothorax, pleural effusions, diffuse pneumonia

70
Q

signs of inspriatory dyspnea

A

prolonged and labored inspiration. Restrictive respiratory pattern

71
Q

cause of expiratory dyspnea

A

compression or obstruction of lower air passages, microbronchitis, fibrous pleuritis, rarely neoplasms

72
Q

signs of expiratory dyspnea

A

– prolong and labored expiration, obstructive respiratory pattern

73
Q

cause of mixed dyspnea

A

– decreased compliance, pulmonary edema, emphysema, neoplasm, compressed diaphragm

74
Q

signs of mixed dyspnea

A

forced inspiration and expiration

75
Q

rubbing sound

A

rubbing and scratching, friction sound

76
Q

splashing sound

A

gas and fluid movement

77
Q

metallic sound

A

fluiddrops

78
Q

adventitious resp sounds9

A
stridor
splashing
rubbing
rattling
metallic
wheezing
whistling
crepitation
crackling
79
Q

description of adventitous sounds

A
place
strength
type
respiratory phase when heard
temporary or permanent
80
Q

musical sounds

A

whistling

wheezing

81
Q

non musical sounds

A

rattling
crackling
crepitation

82
Q

cause of non musical sounds

A

abrupt opening of previously closed bronchi and vibration of the small bronchial wall

83
Q

non musical definition

A

Sudden arising and stopping sounds. abrupt opening of previously closed bronchi

84
Q

location of non musical

A

They occur in areas that are not filled with respiratory gases but are infiltrated with fluid

85
Q

musical sounds definition

A

Continuous sounds
occur in patients with obstructive lung disease.
Partly due to venturi effect. Walls begin to vibrate between the open and almost closed state then produce a musical tone

86
Q

Venturi effect =

A

the reduction of fluid or air pressure that results when fluid or air flows through a constricted section of pipe

87
Q

Ronchi during insp

A

= extrathroacal (upper airway obstruction)

88
Q

Ronchi during late insp =

A

intrathoracal resonant sound (compression)

89
Q

Rhonchi during expiration =

A

intrathoracal resonant sound (obstruction)