Reading assignment information-Chapter 10 The CHEST Flashcards Preview

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Flashcards in Reading assignment information-Chapter 10 The CHEST Deck (19):
1

What are the main symptoms of pulmonary disease?

Cough
sputum production
hemoptysis
wheezing
cyanosis
chest pain
snoring

2

What should be noted on initial inspection of the pt that is presenting with lung complications?

Patient's facial expression (distress)
Patient's posture
Neck (accessory muscle use)
Configuration of chest
Resp rate and pattern
Hands-clubbing cyanosis

3

What is palpation of the posterior chest used to assess?

Areas of tenderness
symmetry of chest expansion
tactile fremitus

4

What conditions result in increased tactile fremitus?

conditions that increase the lung density-consolidation

5

What can decrease tactile fremitus?

excess fat tissue on the chest, air or fluid in chest cavity, or over expansion of the lung.

6

Increased tactile fremitus indicates what d/o?

Pneumonia

7

Decreased tactile fremitus indicates what d/o?

Unilateral-
PTX
Pleural effusion
Bronchial obstruction
Atelectasis
Bilateral-
COPD
Chest wall thickening

8

percussion over the normal lung results in ______ sound?

resonant

9

Percussion over the normal stomach results in _____ sound?

tympanic

10

percussion over the liver results in _____ sound?

dull

11

percussion of the thigh results in _____ sound?

flat

12

Types of breath sounds

Tracheal
Bronchial
Bronchovesicular
vesicular

13

adventitious sounds?

abnormal lung sounds:
Crackles
Wheezes
Rhonci
Pleural rubs

14

what can be done to evaluate the pt further if adventitious sounds are appreciated?

egophony
whispered pectoriloquy
Bronchophony

15

when do e-a changes occur?

in areas of consolidation

16

define whispered pectoriloquy

intensification of the whispered word due to consolidation of the lung

17

define bronchophony

increased transmission of spoke word in presence of consolidation

18

What are the indications for consolidation?

dullness
crackles
increased breath sounds
increased tactile fremitus

19

what are the indications for pleural effusion?

dullness
decreased breath sounds
and decreased tactile fremitus