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Health Assessment > Chest to Abdomen Assessment > Flashcards

Chest to Abdomen Assessment Flashcards

1
Q

Identifies the portion of the body extending from the base of the neck superiorlyto the level of the Diaphragm inferiorly

A

Thorax

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2
Q

Lungs, Distal portion of the trachea, and the ronchi are located in the thorax

A

Lower respiratory system

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3
Q

Outer structure of the thorax

A

Thoracic Cage

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4
Q

Contains respiratory components

A

Thoracic Cavity

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5
Q

Anterior Vertial Lines

A

Midsternal line, Right Midsternal line, Left Midsternal line

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6
Q

Postrior Vertical Lines

A

Left scapula line, Right Scapula line, Vertebrate Line

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7
Q

Lateral Vertical Lines

A

Anterior Axillary line, Midaxillary Line, Posterior Axillary Line

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8
Q

Mechanics of Normal Lungs

A

Not shallow, Not deep

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9
Q

During inhalation the diaphragm

A

Moves down

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10
Q

During exhalation the diaphragm

A

Goes up

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11
Q

Inspect the Configuration for the Assessment of the posterior Thorax

A
  • Client sits with arms at both sides
  • Stands behind the clientand observe the position of scapulae and the shape and configuration
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12
Q

Normal Scapulae

A

Symmetric and Non-protruding

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13
Q

Normal: Shoulders and Scapulae

A

Equal horizontal positions

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14
Q

Ratio of the Anterposterior to the transeverse diameter

A

1:2

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15
Q

Normal Spinous Processes

A

Appears Straight

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16
Q

Normal Thorax Findings

A

Should be symmetric, with ribs sloping downward at approximately a 45 Degree angle in relation to the spine

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17
Q

Spinous processes that deviate laterally in the thoracic area indicates

A

Scoliosis

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18
Q

Spinal Configurations may have

A

Respiratory Implications

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19
Q

Ribs appearing horizontal at a angle greater than 45 degrees with the spinal column are frequently the result of an

A

Increased ratio between the anteroposterior-transverse (Barrel Chest)

20
Q

Barrel Chest result of

A

Result of Emphysema due to hyperinflation of the lungs

21
Q

How to observe Accessory Muscles

A
  • Watch as the client breathes and note use of muscles
22
Q

Normal Result of Accessory Muscles

A
  • Client does not use accessory
  • Diaphragm is the Major muscle at work
23
Q

COPD

A

Chronic Obstructive Pulmonary Disease

24
Q

Tender or Painful areas

A

Indicates inflamed fibrous connective tissue

25
Q

Pain over the intercoastal spaces

A

From Inflamed Pleurae

26
Q

Pain over the ribs, especially at the costal chondral junctions

A

Symptom of Fractured bones

27
Q

Subcutaneou emphysema, a crackling sensation: Air passing through flued or exudate

A

Crepitus

28
Q

Vibration of Air in the bronchial tubes transmitted to the chest wall

A

Fremitus

29
Q

The saying of ‘99’ in the back test is for

A

Fremitus

30
Q

Atelectasis

A

Collapse or incomplete expansion of the lungs

31
Q

Pneumonothorax meaning

A

Air in the Pleural space

32
Q

Percussion of Diaphragmatic Excursion measurement

A
  • Equal bilaterally and measures 3-5 Cm in adults
  • Well conditioned patients; 7 or 8 cm
33
Q

Normal Breathing Sounds

A

Brochial, Bronchovesicular, and Vesicular

34
Q

No. of Sequence for Palpation of the Posterior Thorax

A

10

35
Q

No. of Sequence for Ausculatation of the Posterior Thorax

A

20

36
Q

No. of Sequence for Percussion of the Posterior Thorax

A

20

37
Q

Sound added or superimposed over normal breath sounds

A

Adventitious Sounds

38
Q

Adventitious Lung sound

A

Wheezes, and Crackles

39
Q

Breath sound
- Pitch : High
- Quality : Harsh or Hollow
- Amplitute : Loud
- Duration : Short during inspiration; Long during expiration
- Location : Trachea and Thorax

A

Bronchial

40
Q

Breath sound
- Pitch : Moderate
- Quality : Mixed
- Amplitute : Moderate
- Duration : Same during inspiration and expiration
- Location : Over the major Bronchi - Posterior; bet. The Scapulae; Anterior; Around the uppder sternum in the first and scond intercostal spaces

A

Bronchovesicular

41
Q

Breath sound
- Pitch : Low
- Quality : Breezy
- Amplitute : Soft
- Duration : Long in inspiration; in expiration
- Location : Peripheral lung field

A

Vesicular

42
Q

Adventitious Breath sounds

A

Discontinous Sound, Crackles (coarse), Crackles (fine), Continous Sound Pleural Friction Rub, Wheeze (Sibilant), Wheeze (Sonorous)

43
Q

Asking the client to repeat the phrase “ninety-nine” While you auculatate the chest wall

A

Bronchophony

44
Q

Ask the client to repeat the letter “E” while you listen over the chest wall

A

Egophony

45
Q

when the ribs and the breastbone (sternum) grow inward and form a dent in the chest

A

Pectus Excavatum

46
Q

Deformity of the chest wall in which the breastbone and ribs are pushed outward

A

Pectus Carinatum

47
Q

Respiration Patters: Norma Breathing

A

Health Assessment (2 decks)

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