PCM- Lungs Flashcards
Characteristics of vesicular breathing
inspiration is longer and louder than expiration
no discernible gap between inspiration and exspiration
Vesicular breathing is best heard where?
base of the lungs (on the posterior side of the body)
Characteristics of bronchial breathing
inspiration and expiration are of the same loudness and expiration
gap between expiration and inspiration
Which are louder, vesicular or bronchial breathing?
bronchial
Vesicular breathing is best heard where?
over the trachea
Should bronchial (tubular) sounds be heard over normal lung parenchyma?
No
Bronchial sounds may replace normal vesicular sounds under what conditions?
found in:
consolidated lung of pneumonia
atelectasis
pulmonary mass
NOTE: if the airways are involved, no lung sounds will be heard
What is vocal resonance?
listening to the patient’s voice with a stethescope as it’s transmitted through the lung
Breath sounds (and adventitious sounds) are distinguished by what?
their timing, pitch, and, intensity
Do the lungs extend above the clavicle?
No. just the pleura
Where does the apex of the lung pleura (cupola) sit?
2 cm above the junction of the medial 1/3 and middle 1/3 of the clavicle
Where does the surface projection of the pleura of the lungs cross the mid-clavicular line?
8th rib
Where does the surface projection of the pleura of the lungs cross the mid-axillary line?
10th rib
How much higher if the inferior portion of the lung in relation to its pleura? why?
2 ribs higher to allow for expansion of the lung
Where does the surface projection of the lungs cross the mid-clavicular line?
6th rib
