Chest And Lungs Flashcards

1
Q
Dec chat expansion on same side , lagging on same side
Tracheal daviation
Cyanotic
Dec fremitus
Dull on percussion
\+ whispered pectoriloquy
A

Atelectasis

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2
Q
Blue bloater 
Barrel chest
Use accessory muscle
Sob
Dec diaphragmatic movement
Inc RR
Prolong I:E ratio
Inc expiratory phase
\+ crackles and wheezes
A

Chronic bronchitis

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3
Q
Thin, short breath 
Barrel chest 
Use accessory muscle
doB
Dec chest and diaphragmatic movement
Inc RR
Prolong I:E ratio
Inc expiratory phase 
Pink puffer hyperresonant 
Dec breath sound
A

Emphysema

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4
Q
Inc RR
Cyanosis 
Dec chest movement 
Lagging
Trachea shift to contralateral unaffected side
Dec fremitus
Dull or flat
Decrease breath sound on affected side
A

Pleural effusion

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5
Q

Lagging on affected side
Dec fremitus on affected side
Dull on affected side
Dec breath sound on affected side

A

Pleural thickening

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6
Q
Inc rr
Accessory muscle use
Cyanotic (late)
Finger clubbing
Inc fremitus late
Dull on late 
Bronchovesicular sound
Whisper pectriloquy
Crackles
A

Interstitial fibrosis

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7
Q
Sob
Tachycardia mimicking MI
Loc dec breath sound 
Wheezes
Friction rub
A

Pulmonary emboli

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8
Q
Orthopnea
Inc rr
Cyanotic
Accessory muscles use
Inc fremitus
Dull
Bronchovesicular
Crackles
Wheezes some
A

Lvhf pulmo edema

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9
Q
Inc rr
Cyanosis if severe
Lagging on affected side 
Tracheal shift on opposite side in massive
Dec fremitus on affe ted side
Hyperresonant on affected side
Dec breath sound on affectedside
A

Pneumothorax

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10
Q
If present pleuritis lagging on affe ted side
Inc fremitus of consolidation
Dull on area 
Prominent Bronchial sound
Bronchovesicular
Bronchopony, egophony
Whispered oectriloquy
Crackles
A

Penumonia

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11
Q

Q:Stabbing, sticking, dull, aching varies
Short
Aggravated by effort,emotional stress
Breathlessness, palpitate, weakness, anxiety
Below left breast across ant. Chest

A

Anxiety

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12
Q
Local tenderness
 Aggravated by chest wall motion and arm motion
Short
Varies
Along chest wall, back, left breast
A

Costochondritis / chest wall pain

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13
Q
Mistaken for angina pectoris
Esophageal muscular dysfunction
Q:squeezing 
Retrosternal
Back-arm-jaw
Aggr by swallowing food, cold liq, emotional stresS
Relief. Nitroglyceride
Dysphagia
A

Diffuse esophageal spasm

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14
Q
Inflammed lower esophagus 
Acid reflux
Buring, squeezing
Retrosternal to back
Large meal,bending over, lying down
Relief: antacids, belching
Regurg, dysphagia
A

Gerd

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15
Q
Inflammed trachea and bronchi
Burning
Sternum
Mild to mod
Agg by cough
Relief lying on affected side
Cough
A

Tracheobronchitis

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16
Q
Inflame parietal pleura 
Sharp, knifelike
Nonspecific area
Very severe persistent
Agg by breathing (deep insp), cough, thoracic motion
A

Pleuritic pain

Sec to neoplasm, pleuritis, pleurisy pulm infac

17
Q

MI secondary to coronary atherosclerosis
Q:pressing, squeezing, tight, heavy, burning
Retrosternal across ant. Chest. Shoulder-arms-neck-lower jaw, upper abdomen
Discomfort rather than pain
1-3mins, 10mins, 20 mins
Aggr by cold temp, meals, may occur at rest
Relief: nitroglycerin, rest
Dyspnea, nausea, sweating

A

Angina pectoris

18
Q
Weakness, dyspnea, nause, vomit
Necrosis, same as angina pectoris
20 mins to hrs
Agg by nausea, vomit
No relief
A

M.I.

19
Q

Irritation of pleura adj to myocardium
Sharp and knife-like, crushing
Retrosternal, precordial, tip of shoulder to neck
Severe persistent
Agg by brething, swallow, change position, lying down
Relief sitting forward
Ptb, tumor

A

Pericarditis

20
Q
Splitting within layers of aortic wall>blood pass>dissected blood channel form
Ripping, tearing
Ant chest, neck-back-ant abd. 
Very severe
Persistent abrupt
Hypertension
Syncope, hemiplegia, paraplegia
A

Dissecting aneurism

21
Q

Inc RR, inc expiratory rate, use of accessory muscle
Barrel chest
+ wheezes
+ crackles

A

Asthma