pulmonary Flashcards
tactile fremitus
vibration felt in chest wall when pt speaks. increased density (fat/air/fluid decrease). have pt say 99
percussion sounds-flat
high pitched, dense mass
percussion sounds- dull
solid organ
percussion sounds- resonant
high amp, low pitched sound- air tissue (lung)
percussion sounds- tympanic
hollow, air filled structure (stomach)
percussion sounds- hyperresonnant
low pitch, hollow- emph. lung
percussion sounds: normal heart and lung
dull heart, resonant lung
4 normal breath sounds
tracheal, brachia, vesicular, bronchovesicular
adventitious breath sounds
abnormal-rales, wheeze, rhonchi, stridor, pleural rub
rales
short, discontinuous, heard on insp (opening of collapsed airways),PE, CHF, fibrosis, pneumonia
wheeze
contininuse, musical, expiration. CODP, asthma, foreign body/tumor,
rhonchi
low pitched, mucus blogs/poor movement of secretions
stridor
Hugh pitched, inspiration, upper airway» caused by obstruction
pleural rub
grading sound, inspiration/early expiration, pneumonia or pulmonary infarction
egophany
E>A, areas of consolidation