Flashcards in Chapter 8: The Thorax and Lungs Deck (19)
When percussed, healthy lungs sound ________.
___________ ______________ may be heard over the hyperinflated lungs of a patient with COPD or asthma.
What is the normal estimate of the extent of diaphragmatic excursion?
3 to 5.5 cm
While listening to the lungs, the whispered voice is normally heard faintly and indistinctly, if at all. Louder, clearer whispered sounds are called ________ ____________.
whispered pectoriloquy (p. 315).
In 24 hours, the lungs oxygenate over ____ quarts of blood with over _____ quarts of air in the lungs.
The total surface area of the lungs comprise an area larger than a ______ _____.
You have both ________ and ________ intercostal muscles.
internal and external
The diaphragm is innervated by 2 phrenic nerves that originate, one on each side, as branches of the ________ ______ in the neck. They arise from the anterior rami of cervical nerves __, __, and __, with the major contribution coming from __.
C3, C4, C5
[from Clinical Key online, in Gray's Anatomy for Students, Chapter 3: Thorax]
Name some of the muscles associated with chest wall movement.
Scalenus muscles, sternocleidomastoid, intercostal muscles, pectoralis minor, serratus anterior, rectus abdominus
The lower border of the lung crosses the ___ rib at the midclavicular line and the ___ rib at the midaxillary line.
Each lung is divided roughly in half by an _______ (major) _______.
The oblique fissure on both lungs, may be approximated by a string that runs from the __ _______ _______ obliquely down and around the chest to the ___ rib at the _____________ line.
T3 spinous process
The right lung is further divided by the...
...horizontal (minor) fissure.
Anteriorly, the right horizontal fissure runs close to the ___ rib and meets the oblique fissure in the ___________ line near the ___ rib.
Knowing your patient’s history of __________ or _____________ exposure is important.
A dry, hacking cough often results from...
Interstitial lung disease
Chronic productive coughs often result from...
Tactile fremitus is decreased or absent when the transmission of vibrations from the larynx to the surface of the chest is impeded by a...
...thick chest wall, obstructed bronchus, COPD, or pleural changes from effusion, fibrosis, air (pneumothorax) or a tumor/mass
Bronchophony is the...
...increased transmission of voice sounds, suggesting that air-filled lung has become airless.