Important Flashcards
respiratory sounds heard under physiologicaly conditions
-normal — soft, blowing
- bronchial sound — strong, audible, blowing sound
- bronchial like sound — deeper softer, harsher
respiratory sound under pathological conditions
non musical rhonchi—-sudden arising and stopping sound rattling and crackling
crepitation —-coarse crackles
crackling sound
rattling sound
musical rhonchi —- continuous sounds (feline asthma)
whistling - high musical tone
wheezing - low musical sound
other abnormal sounds hear over thorax
stridor —strong stenotic sound,
rubbing
splashing - gas and fluid
metallic sound — fluid drops on fluid
respiratory movements of the thorax
frequency
rythm
type
depth
Main percussion sounds
sonorous, resonant
- fairly low strongly resonant meaning normal lung
damped and dull
-short sound of low intensity meaning non gas containing organs , liver, heart muscle
tympanic
stronger longer sonorous, higher in pitch, hollow organ !!!
other sounds metallic, cracked pot sound, hollow sound
altered percussion sounds within the lung borders or due to lung displacement
tympanic sounds
hollow box sounds
metallic sounds
cracked pot sounds
alterations in the cardiac sound
normally
pounding beat
reduced heart sounds
demarcation (distincness of the cardiac sound)
additional adventious sounds are murmurs !
abnormal findings in pulse quality
irregular, uneven
large or small
strong or weak -compressibility
sluggish or skipping- duration
full or empty- size plus duration
wiry- snall brief hard pulse
heart failure, hypovoleamei - small prolonged weak
bumping - skipping and large
thrill, paradox pulse, pulsus alternana, pulsus deficit
neurologic disease processes
degenerative— lipofuscinosis
anomalous- hydrocephalus
metabolic-hepatic enceleopathy
neoplastic- primer or secondary tumor
inflammatory infectios idiopathy- steoid, bacterial virus, fungi
toxic- ethylene glycol toxicity
vascular- ischemia, bleeding
mental state
reduced:
depressed, obtuned, dull, blunted, indolent, somnolentia, delirium, dementia
increased: excitation, aggresiveness, furos
seizure categorization
partial seizure- one body region, temporal/parietal lobe
complex partial- partial seizure with loss of conscio.
generalized-effects brain, tonic clonic seizures
structural- intracranial seizure, hydrocephalus, storage disease, neoplasm
extracerebral - metabolic
others include: tetanus, tetany, tremor, tic, etc.
sweat glands
apocrine
eccrin
primary lesions
macule
papule
plaques
nodule, tuber
wheal
vesicles
cysta
pustule
secondary
epidermal collarettes
excoriation or erosion
ulcer
scar
chap, fissure
lichenification
callus
necrosis
Primary and secondary
Scale
Crust
Comedones
Follicular casts
Pigmentary changes