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CardioPulm > Physical Findings Associated with Common Respiratory Conditions > Flashcards

Physical Findings Associated with Common Respiratory Conditions Flashcards

1
Q

Asthma- Inspection

A

Tachypnea
Nasal Flaring
Intercostal Retractions

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2
Q

Asthma- Palpation

A

Tachycardia

Diminished Fremitus

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3
Q

Asthma-Percussion

A

Occasional hyperresonance
Occasional Limited:
-Diaphragmatic Descent
- Diaphragmatic Level Lower

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4
Q

Asthma- Auscultation

A

Prolonged Expiration
Wheezes
Diminished Lung Sounds

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5
Q

Atelectasis- Inspection

A

Delayed and/or diminished chest wall movement, narrowed intercostal spaces on affected side

Tachypnea

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6
Q

Atelectasis- Palpation

A

Diminished fremitus
Apical cardiac impulse- deviated ipsilaterally
Trachea deviated ipsilaterally

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7
Q

Atelectasis- Percussion

A

Dullness over affected lung

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8
Q

Atelectasis- Auscultation

A

In upper lobe, bronchial breathing, egophony, whispered pectoriloquy

In lower lobe, diminished or absent breath sounds

Wheezes, rhonchi, and crackles in varying amounts depending on extent of collapse

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9
Q

Bronchiectasis- Inspection

A

Tachypnea
Respiratory distress
hyperinflation
Clubbing

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10
Q

Bronchiectasis- Palpation

A

Few, if any, consistent findings

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11
Q

Bronchiectasis- Percussion

A

No unusual findings if there are no accompanying pulmonary disorders

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12
Q

Bronchiectasis- Auscultation

A

A variety of crackles, usually coarse, and rhonchi, sometimes disappearing after cough

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13
Q

Bronchitis- Inspection

A

Occasional tachypnea
Occasional shallow breathing
Often no deviation from expected findings

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14
Q

Bronchitis- Palpation

A

Tactile Fremitus undiminished

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15
Q

Bronchitis- Percussion

A

Resonance

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16
Q

Bronchitis- Auscultation

A

Breath sounds may be prolonged.

Occasional crackles, expiratory wheezes and rhonci

17
Q

COPD- Inspection

A 
Respiratory Distress
Audible wheezing
Cyanosis
Distention of neck veins, peripheral edema (in the presences of R-sided Heart failure)
Clubbing (rarely)
18
Q

COPD- Palpation

A

Somewhat limited mobility of diaphragm

Somewhat diminished vocal fremitus

19
Q

COPD- Percussion

A

Occasional hyperresonance

20
Q

COPD- Auscultation

A

Postpertussive rhonchi (sonorous wheezes) and sibilant wheezing

Inspirational crackles (best heard with stethoscope held over open mouth)

Breath sounds somewhat diminished

21
Q

Emphysema- Inspection

A 
Tachypnea
Deep Breathing
Pursed lips 
Barrel Chest
Thin, underweight
22
Q

Emphysema- Palpation

A

Apical impulse may not be felt
Liver edge displaced downward
Diminished Fremitus

23
Q

Emphysema- Percussion

A

Hyperresonance
Limited descent of diaphragm on inspiration
Upper border of liver dullness pushed downward

24
Q

Emphysema- Auscultation

A

Diminished breath and voice sounds with occasional prolonged expiration

Diminished audibility of heart sounds

Only occasional adventitious sounds

25
Q

Pleural Effusion- Inspection

A

Diminished and delayed respiratory movement on affected side

26
Q

Pleural Effusion- Palpation

A

Cardiac apical impulse shifted contralaterally
Trachea shifted contralaterally
Diminished Fremitus
Tachycardia

27
Q

Pleural Effusion- Percussion

A

Dullness to flatness

Hyperresonant note in area superior to effusion

28
Q

Pleural Effuision- Auscultation

A

Diminished to absent breath sounds
Bronchophony, whispered pectoriloquy
Egophony and/or crackles in area superior to effusion
Occasional friction rub

29
Q

Pneumonia consolidation- Inspection

A 
Tachypnea
Shallow breathing 
Flaring of alae nasi
Occasional cyanosis
Limited movement at times on involved side; splinting
30
Q

Pneumonia Consolidation- Palpation

A

Increased fremitus in presence of consolidation
Decreased fremitus in presence of a concomitant empyema or pleural effusion
Tachypnea

31
Q

Pneumonia Consolidation- Percussion

A

Dullness if consolidation is great

32
Q

Pneumonia Consolidation- Auscultation

A

A variety of crackles with lobar and occasional rhonchi
Bronchial Breath sounds
Egophony, bronchophony, whispered pectoriloquy

33
Q

Pneumothorax- Inspection

A

Tachycardia
Cyanosis
Respiratory distress
Bulging intercostal spaces Respiratory lag on affected side
Tracheal deviation with tension pneumothorax

34
Q

Pneumothorax- Palpation

A 
Diminished to absent fremitus
Cardiac apical impulse. trachea, and mediastinum shifted contralaterally 
Diminished to absent tactile fremitus
Tachycardia
Subcutaneous crepitance from air leaking
35
Q

Pneumothorax- Percussion

A

Hyperresonance

36
Q

Pneumothorax- Auscultation

A

Diminished to absent breath sounds
Succussion splash audible if air and fluid mix
Diminished to absent breath sounds
Sternal and precordial clicks and crackling (Hamman sign) if air underlies that area
Diminished to absent whispered voice sounds

CardioPulm (4 decks)

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