Examination Flashcards
tell me owen, what was your thinking in making these flash cards?
I thought you’d never ask! I skipped to slide 20 on chapter 18 powerpoint because it was all things we had already talked about. Instead, I added things that I needed to review, starting at auscultation of the lungs!
bronchial sounds
loud, high-pitched sounds
equal inspiratory / expiratory duration
bronchovesicular sounds
softer version of bronchial sounds
continuous through inspiration and expiration
what are adventitious lung sounds? what is the division of adventitious lung sounds?
abnormal noises
- continuous and discontinuous
wheeze
- sound?
- continuous or discontinuous?
constant pitch
continuous
crackles
- sound?
- continuous or discontinuous?
brief bursts of popping
discontinuous
where can the aorta be auscultated?
right 2nd intercostal space
just lateral to sternum
where can the pulmonary area of the heart be auscultated?
left 2nd intercostal space
just lateral to sternum
where can the tricuspid area be auscultated?
inferior left sternal margin
where can the apex of the heart be auscultated
5th intercostal space
S1 heart sound
closure of mitral and tricuspid valve
S2 heart sound
closure of aortic and pulmonary valve
what heart sounds are considered abnormal?
S3/4
S3 heart sound
- what can this indicate
immediately after S2
– CHF
S4 heart sound
- what can this indicate
just before S1 (late in diastole)
- atrial contraction
what are the classifications of murmur causes?
high rates of flow via normal or abnormal valves
flow through deformed (constricted or dilated) valve
backward flow through valve (regurgitation)
what does pericardial friction rub indicate
pericarditis
oblique fissure landmarks
T4 spinous process
5th rib at midaxillary line
6th costochondral junction at midclavicular line
horizontal fissure of R lung landmarks
4th rib and costochondral junction at midclavicular line
boundaries of the lobes of the lung
apex of lung = 2 cm above clavicle
upper lobe lower margin - 6th rib at mid clavicular
middle lobe lower margin - 8th rib at mid axillary
lower lobe lower margin - 10th rip at mid scapular line
where to find a bronchial sound
over large airways
anterior chest at manubrium and SC joints
posterior chest between C7 and T3
bronchial sounds are found at
over large airways
anterior chest at manubrium and SC joints
posterior chest between C7 and T3
vesicular sounds are found at
middle and lower lobes
where to find bronchovesicular sounds
posterior chest wall between scapulae
anteriorly over 2nd ICS
