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CD2201- Mod 6 > Thorax & Lungs II > Flashcards

Flashcards in Thorax & Lungs II Deck (29)
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1

How to perform auscultation

Use same pattern suggested for percussion (breath hru open mouch one full breath)

2

What are the 3 normal lung sounds you hear during ausultation

Vesicular
Bronchial
Bronchovesicular

3

Where will you hear vesicular sounds, what does it sound like, insp:exp

-Most peripheral lung fields
-soft intensity/low pitched
-Inspiration>expiration (with no gap)

4

Where will you hear bronchovesicular sounds, what does it sound like, insp:exp

- 1st/2nd intercostal spaces + interscap
-Medium intensity, mod pitch
- inpiration=expiration

5

Where will you hear bronchial sounds,what does it sound like, insp:exp

-Over mandibrium
- loud intensity, high pitch
-expiration>inspiration

6

When u hear increased sounds (such as bronchial, bronchovesicular) in areas of vesicular what does it indicate

sign of consolidation (sound transmits better in liquid; will be louder)

7

Why would someone have an elevated diaphram

-Paralysis
-consolidation
-pleural effusion
-atelectasis
-intraabdominal mass

8

When will percussion be dull/ hyperreonant

Dull with consolidation/pleural thickening

Hyperresonant/ tympanic with increased/trapped air

9

What are the 2 tyoes of advetitous sounds and sub categories

1. Discontinous (fine crackles, coarse crackles)
2. Continous (ronchi, wheezes, friction rub)

10

What are fine crackles+ when are they heard + indicative of

High pitched during late inspiratory

-Congestive heart failure
-Interstitial lung disease

11

What are coarse crackles + when are they heard + indicative of

low pitched during early inpiratory

-Chronic bronchitis
-Asthma
-Pneumonia

12

What is rhonchi+ when is it heard + causes

- low pitched snoring, rumbling during insp and exp
-Suggest secretions in large airways

-Bronchitis
-Inflammation

13

What is a wheeze, when is it heard + causes

-High pitches, hissing, whistling (suggesting the presence of an airway that is narrowed, to point of closure)
-both insp and exp

-asthma
-COPD
-Chronic bronchitis
-Congestive heart failure

14

What is friction rub, when is it heard + causes

-Grating, low pitched, long crackles
-both insp and exp
-Suggest inflamed, thickened pleural surfaces rubbing together

15

When should transmitted voice sounds be performed and what does it confirm the presence of

Performed only when bronchial or bronchiovescicular breath sounds are heard in the peripheral lung fields.

-confirms presence of consolidation

16

What do u do for bronchophony + what would u hear

Ask pt to say 99

-if heard louder and clearer it is pos

17

What do you do from egophony + what would you hear

Ask pt to say ee
will hear ayy sound if pos

18

What do you do for whispered pectorilioque

ask pt to say 99
if loud and clear it is pos

19

normal for 8 ft walk test and 6 min walk test

8 ft= <9sec

6 min walk= Normal 500-630m

20

How to perform forced expiration, what is normal and abnormal

Forced expiration while auscultating trachea
(repeat until 3 consistent readings)

normally <6sec
longer= COPD

21

How to perform chest compression

Resist inspiration

22

Obstructed airway- Inspection, tactile frem, percussion, auscultation (voice sounds)

- involved side less mvmt

-Decreased tactil frem

Resonent/dull percussion

-crackles/wheezes, neg voice sounds

23

Consolidated lobe-Inspection, tactile frem, percussion, auscultation (voice sounds)

- involved side less mvmt

-increased tactil frem

-dull percussion

-Bronchial, pos voice sounds

24

Pneumothorax- Inspection, tactile frem, percussion, auscultation (voice sounds)

-deviated trachea away from colapse

-decrease tactil frem

-hyper resonent

-no sounds, neg voice sounds

25

Pleural effusion- Inspection, tactile frem, percussion, auscultation (voice sounds)

- deviated trachia away

-decreased tactil frem

-Dullflat perussion

-decreased sounds, neg voice

26

Obstructive Lung disease- Inspection, tactile frem, percussion, auscultation (voice sounds)

- expiration longer, cyanosis, barrel chest

-decreased tactile frem

-hyperresonant

-wheezes/rhonchi

27

Atelectasis- Inspection, tactile frem, percussion, auscultation (voice sounds)

- deviated trachea towards side

-decreased tactil frem

- dull (due to collapse

-decreased breath sounds, neg voice

28

at what age will children get to a normal breathing rate

17 years old

29

In children what will be differnt about percussion and auscultation

percussion- hyperresoence common

Auscultation- Bronchovesicular in young/small children due to thin chest wall