Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Physical Assessment

Thorax and Lungs-Lower Respiratory

REVIEW OF SYSTEMS THORAX AND LUNGS Do you wheeze? Do you have difficulty breathing/feel short of breath? (if yes, onset at rest or/exertion) Do you have a cough? If yes, sputum production/color/consistency?) Have you noticed any weight loss, fever or night sweats? Do you smoke?
INITIAL SURVEY OF RESPIRATION AND THORAX Inspect chest front, side,back observing: inspir/expir/chest movement"symmetry"/audible breath sounds ie stridor,wheezing Observes and reports the rate, rhythm,depth of breathing "normal 14-20 bs/min" Observe and reports the AP D. "barrel chest"
POSTERIOR CHEST-INSPECTION Patient position upright with arms folded ID Landmarks: scapular line/vetebral line RP: condn. of skin for cyanosis RP: deform. of thoracic spine RP: respir. movement of the chest wall RP: inspir. movement ie retraction "Sym.No delays noted" RP: expir. movement, i.e., bulging INSP/RP:access.
PALPATION - POSTERIOR CHEST Ppts tenderness,masses,sinus tracts (4 areas) “Non tender sinus tracts, masses" Ppts tactile fremitus “I note tactile fremitus” {Pt says “One-One, One”} Test chest expansion Thumbs at 10th, fingers out
PERCUSSION - POSTERIOR CHEST a.Tympany/Gastric Bubble b.Hyperresonance/Not Heardc.Resonance/Throughout d.Dullness/Livere Percusses 5 ars bilaterally, & 2 posterior axillary line bilat cpr R:L ID diaphragmatic level At full expiration/inspiration Distanc btw lv of dullness 5-6 cm
AUSCULTATION – POSTERIOR CHEST RP: in all ars the b sounds as: a.Vesicular/Soft, low pitch fade 1/3 Exp b.Bronchovesicular/Insp./Exp. same c.Bronchial/Louder, higher pitch Exp long Full breath deeply mouth ASCLT in both complete inspir and expir all 7 ars "No advntit lung sounds"
FOR ABNORMAL BREATH SOUNDS Explain and/or demo ONE of following test Auscultate for Egophony – have pt say “ee” State abnormal findings: “Sounds like AY”
INSPECTION - ANTERIOR CHEST Ask patient to lay in supine position Identify landmarks: a.suprasternal notch b.sternal angle c.costal angle d.mid-sternal line e.mid-clavicular line f.anterior axillary line g.mid-axillary line h.posterior axilliary line Reports condition of skin "No cyanosis noted"
INSPECTION - ANTERIOR CHEST Reports use of: a.accessory muscles & nasal flare b.deformities or asymmetry c.retraction d.supraclavicular retraction e.bulging "No deformities noted on inspection"
PALPATION - ANTERIOR CHEST Ppts tenderness, masses and sinus tracts (3 ars anter, 2 ars lat) Test chest expansion: Pinch hands @ stomach, tell pt to take a deep breath. "Lungs are symmetrical no delays noted." Hands should be equidistant. Ppt for tactile fremitus (same ars)
PERCUSSION ANTERIOR CHEST a.Tympany/Gastric Bubble b.Hyperresonance/Not Heard.Resonance/Throughout d.Dullness/Livere Percusses 5 ars bilaterally, & 2 posterior axillary line bilat cpr R:L
AUSCULTATION - ANTERIOR CHEST Specific and complete instruction to pt for breathing Auscultate in both complete inspiration and expiration (deeper then usual) States in all the following areas the breath sounds as: a.Vesicular b.Bronchovesicular c.Bronchial
FOR ABNORMAL BREATH SOUNDS: Explain and/or demo ONE of following test Auscultate for Bronchophony – have pt say “ninety-nine” Auscultate for Whispered pectoriloquy - have pt say “one-two-three” Auscultate for Egophony – have pt say “ee” states abnormal findings
Created by: teyonka