Pedia 3B - Applied Pulmonary Flashcards
Cough - Dry
Pleurisy
Hacking - LTB
Cough - Productive (2)
Pneumonia
TB
Sputum - Purulent (2)
Lung abscess (also very bad smell; copious) Cystic Fibrosis
Sputum - Frothy
Heart Disease
Sputum - Copious
Lung Abscess (also very bad smell)
Sputum - Blood tinged
Mitral stenosis
Sputum - Greenish
Cystic Fibrosis
Sputum - Frank blood
Hemoptysis
Sputum - Very bad smell
Lung abscess (purulent; copious)
Cough - Worse on lying down
Postnasal drip (also when sleeping/awakening)
Cough - w/pain on chest
Pleurisy
Cough - hoarse
laryngotracheobronchitis
Cough - Whoop
Pertussis
Cough - Aphonic
Vocal cord paralysis
Cough - All day but only while awake
Habit
Cough - Worse when asleep/awakening
Postnasal drip (also on lying down)
Stridor (6)
Harsh High Pitch During or end of INspiration Narrowing of upper air passages LTB, Foreign bodies, Epiglottitis, Diphtheria, Vocal cord paralysis Snoring
Snoring
stridor while asleep
Noise at start of expiration
Grunt
Rapid succession of short, sharp sounds
Usu. moribund/dying
D/t air going in/out thru pooled saliva
Rattle
Harsh High Pitch During or end of INspiration Narrowing of upper air passages LTB, Foreign bodies, Epiglottitis, Diphtheria, Vocal cord paralysis Snoring
Stridor (6)
Musical sound
Asthma
Heard w/o stethoscope
Wheeze
Cyanosis - Definition
Bluish discoloration of skin & mucus membranes
Rattle
Rapid succession of short, sharp sounds
Usu. moribund/dying
D/t air going in/out thru pooled saliva
Cough - Definition
Paroxysmal expiratory movements
Central Cyanosis - Definition
Generalized (inc. tongue)
Ward extremities
Wheeze
Musical sound
Asthma
Heard w/o stethoscope
Absence of Clavicle
Cleido-cranial dysostosis
Pre-sternal edema
Mumps
Unilaterally prominent anterior chest
Cardiac Problems
Rib Abnormalities
Scoliosis
Hypo-plastic nipples
Down’s
Turner’s
Super-numerary nipples
Renal abnormality
Shield chest
Turner’s
Pectus excavatum
Congenital anomaly,
Chronic nasal obstruction
- adenoidal hypertrophy
Pigeon Breast
Normal
Pectus carinatum
Rickets
Osteomalacia
Costo-condral swelling
Rickets
Rachitic
Deep groove along lower ribs
Normal (esp in premature)
Harrison’s Sulcus (if late)
- Rickets
- COPD
(-) Pectoralis major
- Unilateral Flattened Chest
(-) Nipple
(-) Breast
Pleural herniation
Sprengel’s Deformity
HIGH Scapula
Lower angle to the spine
Paroxysmal
- Dx Test
- Abd on INSP
- Abd on EXP
- Dse
- Requires fluoroscopy
- Abd flattens on INSP
- Abd bulges on EXP
- Diaphragmatic Paralysis (Congen, Poliomyelitis)
- Pneumothorax
Non-Paroxysmal
- Dx Test
- Abd on INSP
- Abd on EXP
- Dse
Chest and Abd move
Abd more visible
- Abd bulges on INSP
= Thorax moves up and out (chest exp)
- Abd Flattens on EXP
= Thorax resting
Dse: Normal
DEC Fremitus
FACE P
- FBO (Bronchus)
- Atelectasis
- Collapsed lung
- Effusion
- Pneumothorax
INC Fremitus
CPC
- Consolidation
- Pneumonia
- Cavity (large)
Breaths/Minute (Tachycardia)
0-2m 30-50 (60) 2-12m 20-30 (50) 1-5y 20-30 (40) 6-12y 15-20 (30) 12-18y 12-16 (24)
INSP
Upper Obstruction
Croup
Diptheria
EXP
Airway Obstruction
Bronchial Asthma