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Health Assessment
thorax and lungs
31
Nursing
Undergraduate 2
11/14/2009

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Cards

Term
respiratory system purposes
Definition
1. supply oxygen 2. eliminate CO2 3. homeostasis (acid-base balance)
Term
angle of louis (sternal angle)
Definition
at 2nd rib (where top of sternum and manubrium meet)
Term
Erb's point
Definition
3rd ICS on LSB- significant because heart sounds change here
Term
apex of lung
Definition
highest lung tissue (3-4 cm above inner 1/3 of clavicles)
Term
base of lung
Definition
lower border (rests on diaphragm at about 6th rib MCL)
Term
"ideal" lung exam
Definition
1. client seated (examine posterior and lateral thorax) 2. client supine (examine anterior and lateral thorax)
Term
Pectus Exavatum
Definition
congenital problem where the sternum goes in (no need to correct)
Term
Pectus Carantum
Definition
sternum protrudes forward
Term
Chest shape
Definition
elliptical (transverse > anterior to posterior; 2:1) in infants or emphesyma there is a 1:1 ratio
Term
crepitus
Definition
crackling sensation (indicated air in subcutaneous tissues)
Term
fremetis
Definition
palpable vibration toward top of chest upon vocalization
Term
normal diaphragmatic excursion
Definition
3-6 cm on each side
Term
abnormal breath sounds
Definition
incorrect location (may here bronchovesicular where we should hear vesicular), dimished or absent
Term
adventitious sounds
Definition
generall due to secretions in the trachial/bronchial tree, can be due to swelling, note whether you hear upon inspiration or expiration
Term
crackles
Definition
aka rales, adventitious sounds usually due to secretions in the trachial/bronchial tree, usually on inspiration
Term
wheezes
Definition
aka rhonchi, more on expiration, softer than crackles
Term
sibilant wheezes
Definition
musical
Term
sonorous wheezes
Definition
more snore-like, on inspiration and expiration
Term
stridor
Definition
indicate acute respiratory distress, on inspiration, sounds crow-like, tripod position, increases respiration, anxiety, flaring nostrils
Term
friction rub
Definition
can be in other organs (heart)
Term
bronchophony
Definition
normal: muffled 99; abnormal: distinct 99
Term
egophony
Definition
normal: indistinct E; abnormal: "E to A" change
Term
Whispered pectoriloquy
Definition
normal: indistinct "1,2,3"; abnormal: distinct "1,2,3"
Term
Vesicular breath sound characteristics
Definition
soft, quiet, low pitched, fine rustling, inspiration > expiration
Term
vesicular normal location
Definition
peripheral lung fields anterior, posterior, and lateral chest
Term
bronchovesicular characterisitcs
Definition
medium pitched, medium intensity, muffled blowing quality, inspiration = expiration
Term
bronchvesicular normal location
Definition
either side of sternum and right apex anterior chest and interscapular area and posterior chest
Term
bronchial characteristics
Definition
high pitched, loud, less harsh and less tubular than tracheal breath sounds, expiration > inspiration (may be break in between)
Term
bronchial normal location
Definition
over major bronchus (manubrium)
Term
tracheal characteristics
Definition
high pitched, loud, harsh and tubular, inspiration = expiration (may be break, expiration may be more intense)
Term
tracheal normal location
Definition
anteriorly over trachea and posteriorly over cervical vertebrae
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