pulmo. auscultation table + mediastinum 10-28 (1) Flashcards

1
Q

Normal. breath sounds?

A

bronchovesicular (hilar)
vesicular (peripheral)

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2
Q

Normal. tactile fremitus?

A

normal

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3
Q

Normal. percussion?

A

resonance

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4
Q

Normal. mediastinal shift?

A

none

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5
Q

Consolidation (eg lobar pneumonia). breath sounds?

A

increased (crackles and egophony present)

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6
Q

Consolidation (eg lobar pneumonia). tactile fremitus?

A

increased

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7
Q

Consolidation (eg lobar pneumonia). percussion?

A

dullness

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8
Q

Consolidation (eg lobar pneumonia). mediastinal shift?

A

none

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9
Q

Pleural effusion. breath sounds?

A

decreased or absent

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10
Q

Pleural effusion. tactile fremitus?

A

decreased

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11
Q

Pleural effusion. percussion?

A

dullness

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12
Q

Pleural effusion. mediastinal shift?

A

away from effusion (if large)

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13
Q

Pneumothorax. breath sounds?

A

decreased or absent

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14
Q

Pneumothorax. tactile fremitus?

A

decreased

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15
Q

Pneumothorax. percussion?

A

hyperresonant

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16
Q

Pneumothorax. mediastinal shift?

A

away from tension pneumothorax

17
Q

Emphysema. breath sounds?

A

decreased

18
Q

Emphysema. tactile fremitus?

A

decreased

19
Q

Emphysema. percussion?

A

hyperresonant

20
Q

Emphysema. mediastinal shift?

A

none

21
Q

Atelectasis (eg mucus plugging). breath sounds?

A

decreased or absent

22
Q

Atelectasis (eg mucus plugging). tactile fremitus?

A

decreased

23
Q

Atelectasis (eg mucus plugging). percussion?

A

dullness

24
Q

Atelectasis (eg mucus plugging). mediastinal shift?

A

toward atelectasis (if large)

25
Q

anterior. structures? 2

A

thymus, lymph nodes

26
Q

middle. structures?

A

pericardium
heart and great vessels
trachea and main bronchi
esophagus
lymph nodes

27
Q

posterior. structures?

A

neural tissue
vertebrae
lymph nodes

28
Q

anterior. masses?

A

Thymic neuplasm
lymphoma
germ cell tumors (teratomas, seminomas, nonseminomas)
thyroid tissue - ectopic, substernal goiter

29
Q

middle. masses?

A

Lymphadenopathy (eg sarcoidosis, lung cancer), lymphoma

Benign cystic mases (eg pericardial cyst, bronchogenic cyst)

vascular masses

esophageal turmors

30
Q

posterior. masses?

A

neurogenic tumors (eg schwannoma, neurofibroma), meningocele

spinal mases (eg metastases)

lymphoma

31
Q

Thymic neuplasm
lymphoma
germ cell tumors (teratomas, seminomas, nonseminomas)
thyroid tissue - ectopic, substernal goiter

where?

A

anterior

32
Q

Lymphadenopathy (eg sarcoidosis, lung cancer), lymphoma

Benign cystic mases (eg pericardial cyst, bronchogenic cyst)

vascular masses

esophageal turmors

where?

A

middle

33
Q

neurogenic tumors (eg schwannoma, neurofibroma), meningocele

spinal mases (eg metastases)

lymphoma

where?

A

posterior

34
Q

thymus, lymph nodes, where?

A

anterior

35
Q

pericardium
heart and great vessels
trachea and main bronchi
esophagus
lymph nodes

where?

A

middle

36
Q

neural tissue, vertebrae, lymph nodes

where?

A

posterior