PE & Hx Flashcards

1
Q

Define dyspnea

A

Uncomfortable, abnormal awareness of breathing (breathless, tachypnic, increased RR tripod )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are rales when are they heard

A

Aka crackles - discontinuous sounds made by airways snapping open during inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 types of crackles generated by

A
  • Course: lower pitched, from larger airways
  • Fine: higher pitched, from smaller airways
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define a wheeze and when it’s heard

A
  • Shrill whistle or course rattle from fluttering vibrations of narrow airways
  • both inspiratory and expiratory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define the two types of wheezes and where the sound comes from

A
  • rhonchi: upper larger airways, low pitch
  • wheeze: lower, smaller airways high pitch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define stridor

A

High pitch inspiratory sound due to turbulent in airflow the upper airway (worry!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define the classifications of a cough by duration

A
  • acute: less than 3 weeks, think infectious vs noninfectious
  • subacute: 3-8 weeks, think post-infectious
  • chronic: 8+ weeks, think upper airway cough syndrome, asthma, GERD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define hemoptysis

A

expectoration of blood originating from the lower respiratory tract
- frothy/foamy pink/bright red sputum

(pseudohemoptysis = from GI or upper respiratory tract)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the blood supply to the lungs

A

largely from pulmonary arteries with small amount from bronchial arteries
- pulm = low pressure system (R heart)
- bronch = high pressure system (L heart)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define the ILPPAS acronym for PE (i love pulmonary PAs)

A

I = inspection
L = listen
P = palpation
P = percussion
A = auscultation
S = special tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define tactile fremitus

A

vibration of the chest wall that results from sound vibrations created by speech/vocal sounds

(air is a poor conductor of lower sounds, solids/dense mediums increase transmission of sounds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the 3 auscultatory special tests

A
  • broncophony - pt says 99 (muffled in healthy, clear in pathology)
  • egophony - pt says Eeee (E in healthy, A in pathology)
  • whispered pectoriloquy - pt whispers 1-2-3 (unheard in healthy, clearer in pathology)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly