Clinical Flashcards
Where do you auscultate the middle lobe?
Anteriorly between the right ribs 4-6
Where do auscultate apex of lungs?
Above medial 1/3rd of clavicle
Where is the lung base auscultated?
T11
Where do you auscultate upper lobes anteriorly and posteriorly?
Anteriorly - above rib 4
Posteriorly above T3
Where can the sternal angle be found?
Rib 2
What is clinically signficant about the jugular notch?
Point to palpate the trachea
What bone is most likely to fracture during CPR?
Xiphoid process
Clinical response to small pneumothorax <1cm of air in lung
Observe patient for 4 hours and discharge if no dysponea
But NO aspiration
In tension pneumothorax where is the large bore cannula inserted?
2nd intercostal space - mid-clavicular line
Define empyema
Collection of pus in cavity - in pat. pleural cavity/space
CF is a risk factor for pneumothorax. True or false?
True
Reactive airways dysfunction syndrome what is it?
Similar to asthma but unresponsive to treatment
Reaction to fumes, air pollutants
Linked to lifeguards - inhaling pool fumes
Symptoms associated with pulmonary oedema
- Coughing up blood/ bloody froth
- Difficulty breathing when lying down (orthopnea)
- Paroxysmal noctural dysponea
What is the most appropriate management of a patient with a suspected pneumothorax?
CXR to confirm
only chest drain once confirmed unlike tension pneumothorax
What is a flail chest?
2+ continuous rib fractures w/ 2+ breaks per rib
