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Thorax & Lungs
CH. 18
9
Nursing
Undergraduate 3
11/08/2012

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Cards

Term
barrel chest
Definition
ribs are horizontal instead of the normal downward slope. this is associated with normal aging & with chronic emphysema & asthma as a result of hyperinflation of the lungs
Term
pectus excavatum
Definition
sunken sternum & adjacent cartilages (also called funnel breast). depression begins at 2nd ICS. more noticeable during inspiration. when severe, it may cause embarrassment & a negative self-concept
Term
pectus carinatum
Definition
forward protrusion of the sternum, with ribs sloping back at either side & vertical depressions along costochondral junctions (pigeon breast).
Term
scoliosis
Definition
lateral S-shaped curvature of the thoracic & lumbar spine, usually with involved vertebrae rotation. unequal shoulder & scapula height & unequal hip levels. if severe, it may reduce lung volume & put person at risk for impaired cardiopulmonary function
Term
kyphosis
Definition
exaggerated posterior curvature of thoracic spine (humpback) that causes significant back pain & limited mobility. severe deformities impair cardiopulmonary function
Term
increased tactile fremitus
Definition
occurs with conditions that increase the density of lung tissue, thereby making a better conducting medium for vibrations
Term
decreased tactile fremitus
Definition
occurs when anything obstructs transmission of vibrations (e.g. obstructed bronchus) any barrier that gets in the way of the sound & your palpating hand decreases fremitus
Term
rhonchal fremitus
Definition
vibration felt when inhaled air passes through thick secretions in the larger bronchi. this may decrease somewhat by coughing.
Term
pleural friction fremitus
Definition
produced when inflammation of the parietal or visceral pleura causes a decrease in the normal lubricating fluid. then the opposing surfaces make a coarse grating sound when rubbed together during breathing.
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