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Thorax and Lungs 409
| Question | Answer |
|---|---|
| Most common cause of cough | Smoking |
| Most common symptom of lung disease | Cough |
| Normal diaphragmatic excursion | 4-5cm |
| What causes decreased diaphragmatic excursion | Emphysema, phrenic nerve palsy, atelectasis |
| Abnormally high diaphragmatic excursion is due to | Atelectasis, pleural effusion |
| What are the normal percussion of the lungs | Resonance |
| Tympany sounds like | Gastric air bubble or puffed- out cheeks |
| Dullness is heard over the | Liver |
| Wheezes sounds like | Continous, high pitched |
| Rhonchi sounds like | Continous, low pitched, snoring |
| Crackles are | Discontinuous intermittent brief |
| What is the Whispered pectoriloquy | Whispered 1-2-3 |
| Normal sounds of whispered pectoriloquy | Faint and indistinct |
| Abnormal sounds of whispered pectoriloquy | Loud and clear |
| Bronchophony test consist Of | Saying 99 |
| Normal bronchophony sounds are | Muffled |
| Abnormal Bronchophony sounds are | Clear |
| Egophony test consist of | Saying ee |
| Abnormal egophony sounds are | EE is heard as Ay |
| Ee to Ay is due to | Pneumonia |
| what do abnormal voice sounds indicate | an airless lung |
| what are the 5 A's of assessing readiness to quit smoking | 1. ask 2. advise 3. assess 4. assist 5. arrange |
| Stridor is | high-pitched wheeze |
| What is an ominous sign of airway obstruction in the larynx or trachea | stridor |
| Flat Percussion Notes indicates | Large pleural effusion |
| Dullness Percussion Notes indicates | Lobar pneumonia |
| Resonance percussion notes indicates | Normal lung, simple chronic bronchitis |
| Hyperresonance percussion notes indicates | Emphysema or pneumothorax |
| Tympany percussion notes indicates | Large pneumothorax |
| Vesicular breath sounds are heard | Most of the lungs |
| Bronchovesicular breath sounds are heard | 1st and 2nd interspaces, interscapular area |
| Bronchial breath sounds are heard | Over the manubrium, can mean lobar pneumonia |
| Tracheal breath sounds are heard | Over the trachea |
| Creaking like sounds | pleural rub |
| precordial crackles synchronous with the heart bead, not with respiration | mediastinal crunch |
| what position is mediastinal crunch best heard | left lateral position |