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IPC.KEG.Pulmonary Rv

Pulmonary Review.Schauer

QuestionAnswer
Sternal angle Angle of Louis: adjacent to 2nd rib
Tactile fremitus "99" whispered; chest palpated with hands
When is tactile fremitus decreased? Obstructed bronchus, atelectasis, COPD, asthma, pleural effusion, fibrosis, pneumothorax, infiltrating tumor, thick chest wall
When is tactile fremitus increased? Lobar pneumonia, consolidation
Describe proper percussion technique. Pleximeter finger next to skin, plexor finger strikes against pleximeter finger
When do you hear dullness in percussion? Lobar pneumonia, pleural effusion, hemothorax, empyema, fibrous tissue, tumor
When do you hear hyperresonance during percussion? Emphysema, asthma, pneumothorax
Normal diaphragmatic excursion 5-6 cm
Vesicular Normal over most of both lungs, inspiratory > expiratory, soft
Bronchovesicular Normally over 1st and 2nd interspaces anteriorly and between scapulae, inspiratory = expiratory, intermediate in volume
Bronchial Over manubrium, inspiratory < expiratory, loud
Tracheal Over trachea in neck, inspiratory = expiratory, very loud
Normal breath sounds Vesicular, bronchovesicular, bronchial, tracheal
Adventitious lung sounds crackles, wheezes rhonchi, stridor, pleural rub
Crackles/Rales Bubbles flowing through secretions. Present in pneumonia, fibrosis, CHF
Wheezes High pitched, hissing, musical, present in asthma, COPD, bronchitis
Rhonchi Low pitched, snoring quality, sugests secretions in large airways
Stridor Inspiratory, high pitched, suggests obstruction in larynx, trachea
Pleural rub Inflamed pleural surfaces grate against each other
Transmitted Voice Sounds Bronchophony, Egophony, Whispered Pectoriloquy
Bronchophony Spoken words louder, cleaner, increased over area of consolidation as in pneumonida, pulmonary edema, pulmonary hemorrhage
Egophony Spoken "ee" heard as "ay," increased over area of consolidation as in pneumonia, pulmonary edema, pulmonary hemorrhage
Whispered pectoriloquy Whispered words louder and clearer. Increased as in egophony and bronchophony.
Deformities of Thorax Barrel Chest = COPD, Funnel Chest = Pectus excavatum, Pigeon Chest = Pectus Carinatum
Created by: kgardner
 

 



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