Chapter 2 (Part 3) Flashcards
Assessment
- Health History
- Past Health, Social, and Family History
3.Physical Assessment
Common Symptoms (HH)
Dyspnea
Cough
Sputum Production
Chest Pain
Wheezing
Hemoptysis
Physical Assessment Techniques)
Inspect
Percuss
Palpate
Auscultate
Inspect
Chest wall configuration; observe rate rhythm, and quality of respiration; check vs
Percuss
Diaphragmatic excursion (Direct and indirect)
Palpate
All thorax for any bulges, tenderness, or abnormal movement
Auscultate
Chest to assess the abnormal breath sound
Qualities of normal breath sound
Vesicular
Bronchovesicular
Bronchial
Tracheal
Inspiratory sounds last longer than expiratory; soft;relatively low
Vesicular
Inspiratory and expiratory sounds are about equal; Intermediate
Bronchovesicular
Expiratory sounds last longer than inspiratory ones; Loud; Relatively high
Bronchial
Inspiratory and expiratory sounds are about equal; Very loud; Relatively High
Tracheal
Qualities of abnormal (adventitious) Breath sounds
Crackles
Wheezes
Friction rubs
Other: Stridor
Crackles
Crackles in General
Coarse crackles
Fine crackles
Wheezes
Wheezes in general
Ronchi
Friction rubs
Pleural Friction rub
Nonmusical, discontinuous popping sounds that occur during inspiration; may not be cleared by coughing
Crackles in general
Discontinuous popping sounds heard in early inspiration and throughout expiration
Coarse crackles
Soft high-pitched, discontinuous popping sounds heard in mid to late inspiration (hair rubbing together)
Fine crackles
Continuous musical high-pitched, shrill sound usually heard on expiration
Wheezes in general
Deep, lower pitched rumbling sounds, snoring quality, heard primarily during expiration; may clear with coughing
Rhonchi
Discontinuous, low-pitched, rubbing or grating sound; rubbing thumb; inspiration and expiration
Pleural friction rub
Continuous, high pitched, musical sound, heard over the neck
Stridor
