Pulmonary Flashcards Preview

Physical Diagnosis II > Pulmonary > Flashcards

Flashcards in Pulmonary Deck (20):
1

Fine crackles

Heard during end of inspiration. High-pitched discrete crackling not cleared by cough.

2

Medium crackles

Heard during mid-step of inspiration. Lower, moist, not cleared with cough.

3

Course crackles

Heard during inspiration. loud, bubbly, not cleared with cough.

4

Wheezes

Heard on expiration > inspiration. Musical, high pitched, hissing, squeak. Continuous. In lower airway suggestive of narrowing.

5

Stridor

Upper airway wheeze.

6

Rhonchus (Rhonchi)

Continuous through inspiration and expiration. Loud, low and course. Similar to snore or honk.

7

Dullness in lung fields may suggest

Areas of pneumonia consolidation

8

Tympany or precussion in lung fields may suggest

pneumothorax

9

Hyperresonance in lung fields may suggest

Asthma/Bronchitis/Emphysema

10

Tracheal Auscultated sounds

Harsh, high pitched. Inspiratory=expiratory.

11

Bronchial Auscultated sounds

Heard over large airways. Relatively high pitched. Inspiratory < expiratory.

12

Bronchovesicular Auscultated sounds

Heard mid chest. Medium pitch. Inspiratory=expiratory.

13

Vesicular Auscultated sounds

Heard over healthy lung tissue. Soft. Low pitched. Inspiratory > expiratory.

14

Scoliosis

Lateral curvature of the spine

15

Pleural rub

A dry, rubbing, or grating sound heard on ausciltation, caused by friction between the parietal and visceral pleaurae

16

Pulse paradoxus

Abnormally large drop in systolic BP and pulse amplitude during inspiration.

17

Tactile fremitis

Confers density of lungs

18

Bronchophy

Spoken words louder than normal (confers lung consolidation).

19

Whispered pectoriloquy

Whispered words have increased intensity and pitch (confers lung consolidation).

20

Egophony

Have pt say "E." Will change to "A" sound with consolidation.