Health Assessment #4 - Thorax & Lungs

Question 1

Come back to 1st part of thoracic cage assessment

Question 2

Inspect the Posterior Chest - Thoracic Cage

If the AP diameter equals the transverse diameter it is called _____ and is mostly seen in patients who have ______.

Answer 2

If the AP diameter equals the transverse diameter it is called barrel chest and is mostly seen in patients who have emphysema.

Question 3

Inspect the Posterior Chest - Thoracic Cage

______ is a S-shaped curvature of the thoracic and lumbar spine.

Answer 3

Scoliosis is a S-shaped curvature of the thoracic and lumbar spine.

Question 4

Inspect the Posterior Chest - Thoracic Cage

______ is an exaggerated posterior curvature of the thoracic spine (humpback) that causes significant back pain and limited mobility.

Answer 4

Kyphosis is an exaggerated posterior curvature of the thoracic spine (humpback) that causes significant back pain and limited mobility.

Question 5

Inspect the Posterior Chest - Thoracic Cage

______ is a markedly sunken sternum and adjacent cartilages. Depression begins at second intercostal. May cause negative ______, but is usually not symptomatic.

Answer 5

Pectus excavatum is a markedly sunken sternum and adjacent cartilages. Depression begins at second intercostal. May cause negative self-concept, but is usually not symptomatic.

Question 6

Inspect the Posterior Chest - Thoracic Cage

______ is a forward protrusion of the sternum, with ribs sloping back at either side, also known as pigeon breast.

Answer 6

Pectus cartinatum is a forward protrusion of the sternum, with ribs sloping back at either side, also known as pigeon breast.

Question 7

Palpate the Posterior Chest - Symmetric Expansion

• Confirm symmetrical chest expansion by placing your warm hands on the posterior ______ with thumbs at level of ___ and ___. Slide your hands medially to pinch up a small fold of skin between your thumbs.
• Ask the person to take a deep breath. Your hands serve as mechanical amplifiers; as the person inhales deeply, your thumbs should ___________.
• Unequal chest expansion occurs with _____, _____, ______, or ______.

Answer 7

Symmetric Expansion

• Confirm symmetrical chest expansion by placing your warm hands on the posterior lateral wall with thumbs at level of T9 and T10. Slide your hands medially to pinch up a small fold of skin between your thumbs.
• Ask the person to take a deep breath. Your hands serve as mechanical amplifiers; as the person inhales deeply, your thumbs should ___________.
• Unequal chest expansion occurs with atelectasis, pneumonia, pleural diffusion, or ______.

Question 8

Palpate the Posterior Chest - Tactile Fremitus

Question 9

Percuss the Posterior Chest - Lung Fields

1.

Question 10

Characteristics of Normal Breath Sounds