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Part 2 NBS - General Diagnosis > Lungs > Flashcards

Lungs Flashcards

1
Q

Percussion: Resonance

Illnesses:

Fremitus:

A

Normal

Viral pneumonia, laryngitis, pleural effusion

Fremitus: normal

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2
Q

Percussion: Flat
Why?
Illnesses:
Fremitus:

A

Solid
Atelectasis, tumor, pneumoconiosis
Fremitus: decreased

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3
Q

Percussion: tympany

Why?
Illnesses:
Fremitus:

A

GI-Air
Magenblase (gastric air bubble), flatulence
Fremitus: normal

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4
Q

Percussion: Dull

Why?
Illnesses:
Fremitus:

A

Fluid

Bacterial pneumonia, CHF, pulmonary edema

Fremitus: increased

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5
Q

Percussion: hyper resonance

Why?
Illnesses:
Fremitus:

A

Air
COPD, emphysema, pneumothorax

Fremitus: decreased

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6
Q

Massive pleural effusion does what to fremitus?

A

Decreases - it stops lungs from vibrating because fluid is outside lungs

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7
Q

Rhonchi (sonorous wheeze)

A

Low pitched indicating large bronchial or tracheal obstruction

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8
Q

Sibilant wheezing (musical rales, fine crackles)

A

High pitches, usually asthma

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9
Q

Stridor - inspiratory crowing

A

Highest pitch noise indicating a medical emergency

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10
Q

Prolonged expiration

A

COPD - air locked in

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11
Q

Respiratory lag

A

Pneumothorax

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12
Q

Friction rub

A

Pleurisy (rapid, shallow breathing)

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13
Q

Friction rub heard in abdomen indicates

A

enlarged viscera

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14
Q

Adventitious sounds: fluid in lungs
Bronchophony-
Egophony -
Whispered pectoriloquy -

A

Bronchophony- spoken word is clearer
Egophony - “ee ==> aa”
Whispered pectoriloquy - whisper is louder

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15
Q

Cheyne stokes

A

Rhythmical apnea (brain lesion)

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16
Q

Biot’s

A

Intracranial pressure

- irregular apnea indicating medulla involvement

17
Q

Kussmaul

A
  • air hunger
  • associated with diabetic coma
  • deep breathing
18
Q

Hyperventilation

A

Rapid breathing, circumoral tingling

Tx: carbon dioxide

19
Q

Pink puffer

A

Balloon lungs

Emphysema

20
Q

Blue bloater

A

Chronic bronchitis

21
Q

What rib level separates the right lung lobes?
Upper from middle medially?
Upper from middle laterally?
Middle from lower?

A

4
5
6

22
Q

What rib level separate upper and lower lung lobes on left medially?

A

Rib 6

23
Q

What level separates left and right upper and lower lung lobes in the posterior?

A

T3

24
Q

Sputum yellow-green

A

Bronchiectasis

Chronic bronchitis

25
Q

Sputum rusty

A

Pneumococcal

26
Q

Sputum red current jelly

A

Klebsiella (freedlanders pneumonia)

27
Q

Sputum foul

A

Lung abscess

28
Q

Sputum pink

A

Strep

29
Q

Sputum pink and frothy

A

CHF

Pulmonary edema

30
Q

Sputum red

A

TB
Infarct
Cancer

31
Q

Inspiration:expiration ratio for tracheal

A

1:1

32
Q

Inspiration:expiration ratio for bronchial

A

1:3

33
Q

Inspiration:expiration ratio for bronchovesicular

A

1:1

34
Q

Inspiration:expiration ratio for vesicular

A

3:1

Part 2 NBS - General Diagnosis (10 decks)

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