Thorax & Lungs I Flashcards Preview

CD2201- Mod 6 > Thorax & Lungs I > Flashcards

Flashcards in Thorax & Lungs I Deck (27)
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1
Q

@ what level is the horizontal fisure locatated laterally

A

Located from mid axillary line to the 4th/5th rib ant

2
Q

@ what level does the oblique line from on the left side

A

T3 level too 6th rib ant

3
Q

At the lateral aspect how low do the ribs go

A

8th rib

4
Q

full inspiration post goes down to what rib level

A

down to 10th rib

5
Q

What is the normal breathing rate

A

14-20 breaths/min

6
Q

What is tachypnea and causes

A

Rapid shallow breathing

  • COPD (mc)
  • Pleuric chest pain
  • elevateed diaphram
7
Q

What is hyperpenea and causes

A

Rapid deep breathing

  • Exercise
  • Anxiety
  • Acidosis
8
Q

Bradypnea and causes

A

Slow breathing

  • Diabetic coma
  • drug induced
9
Q

What is cheyne stokes breathing, causes and what pop can have this normally

A

Periods of deep breathing alternate with periods of apnea (>10sec)

  • heart failure
  • Uremia
  • Brain damage

Kids<4 can have this pattern normally

10
Q

What is ataxic (biots) breathing

A

Unpredicatable irregularity

  • Brain damage at medullary level
  • Drug induced respiratory depression
11
Q

What is indicitive of obstructive breathing and causes

A

Manifested by prolonged expiration

  • astma
  • COPD
  • chronic bronchitis
12
Q

What is most chest pain related to

A

GI related (40% of time)

13
Q

What are some cardinal s/s of lung pathology

A
  • chest pain
  • dyspnea/laboured breathing
  • wheezing
  • cough
  • hemoptysis (coughing up blood)
14
Q

What is orthopnea vs paroxysmal nocturnal dyspnea

A

orthopnea- shortness of breath when flat (due to heart isues, obesity; relieved by sitting)

Paroxysmal nocturnal dyspnea- Severe shortness of breath at night that still happens in sitting pos

15
Q

What are some risk factors to lung issues

A
  • cardiac/lung disorders
  • Smoking hx
  • Birth control use
  • travel
  • recent fx, sig injury
  • fam hx
16
Q

What are the main steps in respiratory exam

A
  1. Inspection
  2. Palpation (chest exp/ tactile fremitus)
  3. Percussion (diaphragmatic excursion)
  4. Auscultation
  5. Special techniques
17
Q

what side will the trachea deviate to in a lung problem

A

deviation to side of less pressure

18
Q

Why does club finger occur

A

poor o2 to extremities (pts with COPD)

19
Q

what is friction rub

A

inflammed pleura rubbing against eachother

20
Q

Where to palpate for chest expansion ant and post

A

thumbs on midline
Post- 10th rib post
ant- along costal margins

21
Q

How to measure tactile fremitus (how many spots ant/post, what does pt say)

A
4 post (3 parspianal, 1 mid axil)
3 ant (2 parasten, 1 mid axil)

get pt to say 99 or 1-1-1

22
Q

What does increased + decreased tactile fremitus indicate

A

increased- consolidation of lung tissue (increased vib)

decreased- Obstruction, Pleural effusion, pneumothorax, COPD

23
Q

How to percuss + what does it help determine

A

Helps determine whether the underlying tissues are air filled, fluid filled or solid

Plexormeter finger- hyperextended middle finger
Plexor finger- Partially flexed middle finger

24
Q

What are the percussion locations is post and ant thorax

A

Post- 7 areas (5 parastenally, 2 mid axillary)

Ant- 6 areas (4 parasternally, 2 mid axillary)

25
Q

What are the normal and other sounds that can be heard with percussion

A

Resonant- hallow (normal)
Dull- Thud like (liver/heart)
Hyperresonant- drum like (abnormal)
Tympanic- booming (abnormal

26
Q

Where will you hear heart dullness

A

in 3rd to 5th left intercostal spaces medial to mid clavicular line

27
Q

@ what levels do you check for diaphragmic excursion and how do you perform the movement

A

Dull is the level (can determine where the diaphragm is)
Take breath in and see how low u go when it is dull again. , then full breath out and move back up to where its resonant

T8-T11