Thorax & Lungs II Flashcards Preview

CD2201- Mod 6 > Thorax & Lungs II > Flashcards

Flashcards in Thorax & Lungs II Deck (29)
Loading flashcards...
1
Q

How to perform auscultation

A

Use same pattern suggested for percussion (breath hru open mouch one full breath)

2
Q

What are the 3 normal lung sounds you hear during ausultation

A

Vesicular
Bronchial
Bronchovesicular

3
Q

Where will you hear vesicular sounds, what does it sound like, insp:exp

A
  • Most peripheral lung fields
  • soft intensity/low pitched
  • Inspiration>expiration (with no gap)
4
Q

Where will you hear bronchovesicular sounds, what does it sound like, insp:exp

A
  • 1st/2nd intercostal spaces + interscap
  • Medium intensity, mod pitch
  • inpiration=expiration
5
Q

Where will you hear bronchial sounds,what does it sound like, insp:exp

A
  • Over mandibrium
  • loud intensity, high pitch
  • expiration>inspiration
6
Q

When u hear increased sounds (such as bronchial, bronchovesicular) in areas of vesicular what does it indicate

A

sign of consolidation (sound transmits better in liquid; will be louder)

7
Q

Why would someone have an elevated diaphram

A
  • Paralysis
  • consolidation
  • pleural effusion
  • atelectasis
  • intraabdominal mass
8
Q

When will percussion be dull/ hyperreonant

A

Dull with consolidation/pleural thickening

Hyperresonant/ tympanic with increased/trapped air

9
Q

What are the 2 tyoes of advetitous sounds and sub categories

A
  1. Discontinous (fine crackles, coarse crackles)

2. Continous (ronchi, wheezes, friction rub)

10
Q

What are fine crackles+ when are they heard + indicative of

A

High pitched during late inspiratory

  • Congestive heart failure
  • Interstitial lung disease
11
Q

What are coarse crackles + when are they heard + indicative of

A

low pitched during early inpiratory

  • Chronic bronchitis
  • Asthma
  • Pneumonia
12
Q

What is rhonchi+ when is it heard + causes

A
  • low pitched snoring, rumbling during insp and exp
  • Suggest secretions in large airways
  • Bronchitis
  • Inflammation
13
Q

What is a wheeze, when is it heard + causes

A
  • High pitches, hissing, whistling (suggesting the presence of an airway that is narrowed, to point of closure)
  • both insp and exp
  • asthma
  • COPD
  • Chronic bronchitis
  • Congestive heart failure
14
Q

What is friction rub, when is it heard + causes

A
  • Grating, low pitched, long crackles
  • both insp and exp
  • Suggest inflamed, thickened pleural surfaces rubbing together
15
Q

When should transmitted voice sounds be performed and what does it confirm the presence of

A

Performed only when bronchial or bronchiovescicular breath sounds are heard in the peripheral lung fields.

-confirms presence of consolidation

16
Q

What do u do for bronchophony + what would u hear

A

Ask pt to say 99

-if heard louder and clearer it is pos

17
Q

What do you do from egophony + what would you hear

A

Ask pt to say ee

will hear ayy sound if pos

18
Q

What do you do for whispered pectorilioque

A

ask pt to say 99

if loud and clear it is pos

19
Q

normal for 8 ft walk test and 6 min walk test

A

8 ft= <9sec

6 min walk= Normal 500-630m

20
Q

How to perform forced expiration, what is normal and abnormal

A

Forced expiration while auscultating trachea
(repeat until 3 consistent readings)

normally <6sec
longer= COPD

21
Q

How to perform chest compression

A

Resist inspiration

22
Q

Obstructed airway- Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • involved side less mvmt
  • Decreased tactil frem

Resonent/dull percussion

-crackles/wheezes, neg voice sounds

23
Q

Consolidated lobe-Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • involved side less mvmt
  • increased tactil frem
  • dull percussion
  • Bronchial, pos voice sounds
24
Q

Pneumothorax- Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • deviated trachea away from colapse
  • decrease tactil frem
  • hyper resonent
  • no sounds, neg voice sounds
25
Q

Pleural effusion- Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • deviated trachia away
  • decreased tactil frem
  • Dullflat perussion
  • decreased sounds, neg voice
26
Q

Obstructive Lung disease- Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • expiration longer, cyanosis, barrel chest
  • decreased tactile frem
  • hyperresonant
  • wheezes/rhonchi
27
Q

Atelectasis- Inspection, tactile frem, percussion, auscultation (voice sounds)

A
  • deviated trachea towards side
  • decreased tactil frem
  • dull (due to collapse
  • decreased breath sounds, neg voice
28
Q

at what age will children get to a normal breathing rate

A

17 years old

29
Q

In children what will be differnt about percussion and auscultation

A

percussion- hyperresoence common

Auscultation- Bronchovesicular in young/small children due to thin chest wall