Lungs Flashcards
Percussion: Resonance
Illnesses:
Fremitus:
Normal
Viral pneumonia, laryngitis, pleural effusion
Fremitus: normal
Percussion: Flat
Why?
Illnesses:
Fremitus:
Solid
Atelectasis, tumor, pneumoconiosis
Fremitus: decreased
Percussion: tympany
Why?
Illnesses:
Fremitus:
GI-Air
Magenblase (gastric air bubble), flatulence
Fremitus: normal
Percussion: Dull
Why?
Illnesses:
Fremitus:
Fluid
Bacterial pneumonia, CHF, pulmonary edema
Fremitus: increased
Percussion: hyper resonance
Why?
Illnesses:
Fremitus:
Air
COPD, emphysema, pneumothorax
Fremitus: decreased
Massive pleural effusion does what to fremitus?
Decreases - it stops lungs from vibrating because fluid is outside lungs
Rhonchi (sonorous wheeze)
Low pitched indicating large bronchial or tracheal obstruction
Sibilant wheezing (musical rales, fine crackles)
High pitches, usually asthma
Stridor - inspiratory crowing
Highest pitch noise indicating a medical emergency
Prolonged expiration
COPD - air locked in
Respiratory lag
Pneumothorax
Friction rub
Pleurisy (rapid, shallow breathing)
Friction rub heard in abdomen indicates
enlarged viscera
Adventitious sounds: fluid in lungs
Bronchophony-
Egophony -
Whispered pectoriloquy -
Bronchophony- spoken word is clearer
Egophony - “ee ==> aa”
Whispered pectoriloquy - whisper is louder
Cheyne stokes
Rhythmical apnea (brain lesion)
Biot’s
Intracranial pressure
- irregular apnea indicating medulla involvement
Kussmaul
- air hunger
- associated with diabetic coma
- deep breathing
Hyperventilation
Rapid breathing, circumoral tingling
Tx: carbon dioxide
Pink puffer
Balloon lungs
Emphysema
Blue bloater
Chronic bronchitis
What rib level separates the right lung lobes?
Upper from middle medially?
Upper from middle laterally?
Middle from lower?
4
5
6
What rib level separate upper and lower lung lobes on left medially?
Rib 6
What level separates left and right upper and lower lung lobes in the posterior?
T3
Sputum yellow-green
Bronchiectasis
Chronic bronchitis
