Written exam
Help!
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| Vesicular | inspiratory sound is longer than expiratory; heard over most of both lungs
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| Bronchovesicular | equal inspiratory and expiratory sounds; 1st and 2nd intercostals anteriorly and btw scapulae
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| Bronchial | expiratory sound is longer than inspiratory; heard over manubrium
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| Tracheal | equal inspiratory and expiratory sounds; LOUD; heard over trachea in neck
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| Bronchophony | loud and clear when pt w/consolidated lung says "99"
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| Whispered pectoriloquy | pt w/consolidated lung whispers "99" and you can hear it louder thru stethoscope
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| Egophony | consolidated lung changes the sound of "EE" to "AY"
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| Vocal fremitus | sound vibrations are reduced in pneumothorax
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| Vocal resonance | auscultate and sounds are louder in consolidated lung
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| Stridor | high pitched inspiratory sound thru obstructed glottis; a/w croup in children
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| Crepitus | subcutaneous crunching feeling d/t air that has leaked into subcutaneous tissue from chest tube or trauma; heard on auscultation too (sometimes mediastinal)
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| Dullness to percussion | "tapping on stone" - pleural effusion, pleural fibrosis; "tapping on dry wall" - densely consolidated lung
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| Consolidated pneumonic lung | wet rales, bronchial breathing, dullness on percussion, inc vocal resonance & fremitus, bronchophony, egophony, WP
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| Pleural effusion, Pleural fibrosis or thickening | dec breath sounds, stony dullness on percussion, reduced vocal resonance & fremitus
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| Lung collapse | dec breath sounds, no bronchial sounds, dullness to percussion possibly present, dec vocal resonance and fremitus
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| Pneumothorax | no breath sounds, dec vocal fremitus & resonance, tympanic note on percussion, dec chest expansion
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Created by:
bscaryp