Resp Physical Exam Def

Question 1

PERCUSSION

Answer 1

A method of evaluating the consistency of tissues below the skin by the quality of reflected sound and palpable vibrations generated by tapping on the body surface. “A poor man’s ultrasound”.

Question 2

Resonance

Answer 2

the clear long low pitched sound elicited over the normal lung.

Question 3

Hyperresonance

Answer 3

a more vibrant, lower pitched, louder and longer sound heard normally over the lungs during maximum inspiration.
can suggests a pneumothorax (can be related to COPD or a pleural effusion)

Question 4

Dullness

Answer 4

dullness indicates consolidation.
– short, high pitched, soft and thudding sound which lacks the vibratory quality of a resonant sound. Dullness occurs when the air content of the underlying tissue is decreased and its solidity is increased.

Question 5

Fremitus

Answer 5

Fremitus (palpable breath sounds): With the palmar aspect of the fingers or the ulnar aspect of the hand, appreciate tactile fremitus by asking the patient to say (“blue moon,” “99”, “one-two-three” A palpable vibration.
Fremitus is enhanced by consolidation and decreased by pleural fluid or trapped air (pneumothorax = air in the pleural space).

Question 6

PNEUMOTHORAX
FREMITUS
PRECUSSION
BREATH SOUNDS

Answer 6

none
hyperresonace
decrease or absent

Question 7

Pneumonia
FREMITUS
PRECUSSION
BREATH SOUNDS

Answer 7

Incerased
Dull
increased

Question 8

PLEURAL-EFFUSION
FREMITUS
PRECUSSION
BREATH SOUNDS

Answer 8

dec
dull
decreased