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Part 2 NBS - General Diagnosis > Lungs > Flashcards

Flashcards in Lungs Deck (34)
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1

Percussion: Resonance

Illnesses:

Fremitus:

Normal

Viral pneumonia, laryngitis, pleural effusion

Fremitus: normal

2

Percussion: Flat
Why?
Illnesses:
Fremitus:

Solid
Atelectasis, tumor, pneumoconiosis
Fremitus: decreased

3

Percussion: tympany

Why?
Illnesses:
Fremitus:

GI-Air
Magenblase (gastric air bubble), flatulence
Fremitus: normal

4

Percussion: Dull

Why?
Illnesses:
Fremitus:

Fluid

Bacterial pneumonia, CHF, pulmonary edema

Fremitus: increased

5

Percussion: hyper resonance

Why?
Illnesses:
Fremitus:

Air
COPD, emphysema, pneumothorax

Fremitus: decreased

6

Massive pleural effusion does what to fremitus?

Decreases - it stops lungs from vibrating because fluid is outside lungs

7

Rhonchi (sonorous wheeze)

Low pitched indicating large bronchial or tracheal obstruction

8

Sibilant wheezing (musical rales, fine crackles)

High pitches, usually asthma

9

Stridor - inspiratory crowing

Highest pitch noise indicating a medical emergency

10

Prolonged expiration

COPD - air locked in

11

Respiratory lag

Pneumothorax

12

Friction rub

Pleurisy (rapid, shallow breathing)

13

Friction rub heard in abdomen indicates

enlarged viscera

14

Adventitious sounds: fluid in lungs
Bronchophony-
Egophony -
Whispered pectoriloquy -

Bronchophony- spoken word is clearer
Egophony - “ee ==> aa”
Whispered pectoriloquy - whisper is louder

15

Cheyne stokes

Rhythmical apnea (brain lesion)

16

Biot’s

Intracranial pressure
- irregular apnea indicating medulla involvement

17

Kussmaul

- air hunger
- associated with diabetic coma
- deep breathing

18

Hyperventilation

Rapid breathing, circumoral tingling
Tx: carbon dioxide

19

Pink puffer

Balloon lungs
Emphysema

20

Blue bloater

Chronic bronchitis

21

What rib level separates the right lung lobes?
Upper from middle medially?
Upper from middle laterally?
Middle from lower?

4
5
6

22

What rib level separate upper and lower lung lobes on left medially?

Rib 6

23

What level separates left and right upper and lower lung lobes in the posterior?

T3

24

Sputum yellow-green

Bronchiectasis
Chronic bronchitis

25

Sputum rusty

Pneumococcal

26

Sputum red current jelly

Klebsiella (freedlanders pneumonia)

27

Sputum foul

Lung abscess

28

Sputum pink

Strep

29

Sputum pink and frothy

CHF
Pulmonary edema

30

Sputum red

TB
Infarct
Cancer

31

Inspiration:expiration ratio for tracheal

1:1

32

Inspiration:expiration ratio for bronchial

1:3

33

Inspiration:expiration ratio for bronchovesicular

1:1

34

Inspiration:expiration ratio for vesicular

3:1