Thorax & Lungs I Flashcards Preview

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Flashcards in Thorax & Lungs I Deck (27)
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1

@ what level is the horizontal fisure locatated laterally

Located from mid axillary line to the 4th/5th rib ant

2

@ what level does the oblique line from on the left side

T3 level too 6th rib ant

3

At the lateral aspect how low do the ribs go

8th rib

4

full inspiration post goes down to what rib level

down to 10th rib

5

What is the normal breathing rate

14-20 breaths/min

6

What is tachypnea and causes

Rapid shallow breathing
-COPD (mc)
-Pleuric chest pain
-elevateed diaphram

7

What is hyperpenea and causes

Rapid deep breathing
-Exercise
-Anxiety
-Acidosis

8

Bradypnea and causes

Slow breathing
-Diabetic coma
-drug induced

9

What is cheyne stokes breathing, causes and what pop can have this normally

Periods of deep breathing alternate with periods of apnea (>10sec)
-heart failure
-Uremia
-Brain damage

Kids<4 can have this pattern normally

10

What is ataxic (biots) breathing

Unpredicatable irregularity
-Brain damage at medullary level
-Drug induced respiratory depression

11

What is indicitive of obstructive breathing and causes

Manifested by prolonged expiration
-astma
-COPD
-chronic bronchitis

12

What is most chest pain related to

GI related (40% of time)

13

What are some cardinal s/s of lung pathology

-chest pain
-dyspnea/laboured breathing
-wheezing
-cough
-hemoptysis (coughing up blood)

14

What is orthopnea vs paroxysmal nocturnal dyspnea

orthopnea- shortness of breath when flat (due to heart isues, obesity; relieved by sitting)

Paroxysmal nocturnal dyspnea- Severe shortness of breath at night that still happens in sitting pos

15

What are some risk factors to lung issues

-cardiac/lung disorders
-Smoking hx
-Birth control use
-travel
-recent fx, sig injury
-fam hx

16

What are the main steps in respiratory exam

1. Inspection
2. Palpation (chest exp/ tactile fremitus)
3. Percussion (diaphragmatic excursion)
4. Auscultation
5. Special techniques

17

what side will the trachea deviate to in a lung problem

deviation to side of less pressure

18

Why does club finger occur

poor o2 to extremities (pts with COPD)

19

what is friction rub

inflammed pleura rubbing against eachother

20

Where to palpate for chest expansion ant and post

thumbs on midline
Post- 10th rib post
ant- along costal margins

21

How to measure tactile fremitus (how many spots ant/post, what does pt say)

4 post (3 parspianal, 1 mid axil)
3 ant (2 parasten, 1 mid axil)

get pt to say 99 or 1-1-1

22

What does increased + decreased tactile fremitus indicate

increased- consolidation of lung tissue (increased vib)

decreased- Obstruction, Pleural effusion, pneumothorax, COPD

23

How to percuss + what does it help determine

Helps determine whether the underlying tissues are air filled, fluid filled or solid

Plexormeter finger- hyperextended middle finger
Plexor finger- Partially flexed middle finger

24

What are the percussion locations is post and ant thorax

Post- 7 areas (5 parastenally, 2 mid axillary)
Ant- 6 areas (4 parasternally, 2 mid axillary)

25

What are the normal and other sounds that can be heard with percussion

Resonant- hallow (normal)
Dull- Thud like (liver/heart)
Hyperresonant- drum like (abnormal)
Tympanic- booming (abnormal

26

Where will you hear heart dullness

in 3rd to 5th left intercostal spaces medial to mid clavicular line

27

@ what levels do you check for diaphragmic excursion and how do you perform the movement

Dull is the level (can determine where the diaphragm is)
Take breath in and see how low u go when it is dull again. , then full breath out and move back up to where its resonant

T8-T11