Resp Flashcards
what do you assess for in the hands
clubbing
tar staining
tremor
small muscle wasting (thenar - pancoast tumour)
what are resp causes of clubbing
interstitial lung disease
CF
malignancy
what do you look for in the eyes
conjunctival pallor
Horner’s (ptosis, miosis, anhidrosis)
what do you look for in the mouth
central cyanosis
candidiasis (steroid use)
hydration syatus
what do you look for in the face
malar flush (mitral stenosis > CO2 retention) cushingoid features (steroids) facial plethora (superior vena cava obstruction)
why are you palpating apex beat
lung collapse / lung expansion
which area of the lung should you not forget to percuss and ascultate
the RIGHT MIDDLE LOBE (in the right axilla)
what does hyperresonant percussion indicate
pneumothorax
dull percussion cause
consolidation
stony dull percussion cause
pleural effusion
decreased lung sounds on ascultation
pneumothorax
pleural effusion
expiiratory wheeze differentials
Due to airway narrowing and inflammatin
asthma / COPD / anaphylaxis
coarse crackles differentials
BBPP chronic Bronchitis Bronchiectasis Pulmonary oedema Pneumonia
what do coarse crackles sound like
LOW pitched
INSPIRATION + EXpiration
Throughout the lung
Longer duration
fine crackles differentials
IPPA
interstitial lung disease
pneumonia
pulm oedema
atelectasis
