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Pulmo > Lung sounds and borders > Flashcards

Lung sounds and borders Flashcards

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1
Q

Added Sounds

A 
Wheezing
Ronchi
Crackles 
Stridor 
Pleural friction rubs
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2
Q

Diffuse wheeze

A

Asthma or COPD

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3
Q

Local wheeze

A

Bronchial obstruction

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4
Q

Ronchi

A

Chronic bronchitis

Low pitched sound caused by secretions

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5
Q

Crackles/crepitations basics

A

The sound of opening of collapsed airway or alveoli

Atelectasis, pulmonary edema, ILD

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6
Q

Course crackles

A

Long and low pitch

Indicates airway disease

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7
Q

Fine crackles

A

Short, high pitched

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8
Q

Hallmark of chronic bronchitis

A

Early inspiratory and expiratory fine crackles

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9
Q

Stridor

A

Entirely or predominantly inspiratory wheeze that indicates partial obstruction of larynx/trachea

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10
Q

Pleural fiction rubs

A

Indicate roughening of pleural surfaces

Lung tumors, pleuritis

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11
Q

Vesicular breath sounds

A

Soft, low-pitched

I>E

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12
Q

Bronchial breath sounds

A

Loud, high-pitched

E>I

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13
Q

Bronchovesicular sounds

A

Intermediate

I=E

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14
Q

Tracheal sounds

A

Very loud, high pitched

I=E

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15
Q

Bronchophony: Increased transmission

A

Airless lungs; pneumonia, edema

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16
Q

Bronchophony: Decreased transmission

A

Pneumothorax

17
Q

Ratio of inspiration/expiration

A

Normally inspiration is longer than expiration

18
Q

Prolonged expiration

A

Narrowing of lower airways (asthma)

19
Q

Asymmetric expansion

A

Pleural space filled with air or fluid

20
Q

Tactile fremitus; decreased

A

Pleural effusion, fibrosis, ptx, infiltrating tumor

21
Q

Tactile fremitus; increased

A

Consolidation (lobar pneumonia)

22
Q

Upper lung border

A

2-4 cm above inner 1/3rd of the clavicle

23
Q

Lower lung border crossings

A
  • 6th rib midclavicular line
  • 8th rib midaxillary line
  • 9th rib scapular line
24
Q

Lower lung border location

A

Lies at the level of 10-11 T

25
Q

Trachea bifurcation location

A

Sternal angle

Pulmo (4 decks)

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