Reading assignment information-Chapter 10 The CHEST Flashcards
What are the main symptoms of pulmonary disease?
Cough sputum production hemoptysis wheezing cyanosis chest pain snoring
What should be noted on initial inspection of the pt that is presenting with lung complications?
Patient's facial expression (distress) Patient's posture Neck (accessory muscle use) Configuration of chest Resp rate and pattern Hands-clubbing cyanosis
What is palpation of the posterior chest used to assess?
Areas of tenderness
symmetry of chest expansion
tactile fremitus
What conditions result in increased tactile fremitus?
conditions that increase the lung density-consolidation
What can decrease tactile fremitus?
excess fat tissue on the chest, air or fluid in chest cavity, or over expansion of the lung.
Increased tactile fremitus indicates what d/o?
Pneumonia
Decreased tactile fremitus indicates what d/o?
Unilateral- PTX Pleural effusion Bronchial obstruction Atelectasis Bilateral- COPD Chest wall thickening
percussion over the normal lung results in ______ sound?
resonant
Percussion over the normal stomach results in _____ sound?
tympanic
percussion over the liver results in _____ sound?
dull
percussion of the thigh results in _____ sound?
flat
Types of breath sounds
Tracheal
Bronchial
Bronchovesicular
vesicular
adventitious sounds?
abnormal lung sounds: Crackles Wheezes Rhonci Pleural rubs
what can be done to evaluate the pt further if adventitious sounds are appreciated?
egophony
whispered pectoriloquy
Bronchophony
when do e-a changes occur?
in areas of consolidation
