resp Flashcards

1
Q

what causes tracheal displacement towards the side of the lung lesion

A

upper lobe collapse
upper lobe fibrosis
pneumonectomy

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2
Q

what causes tracheal displacement away from the side of the lung lesion

A

extensive pleural effusion
tension pneumothorax
chest expansion

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3
Q

causes of unilateral decreased chest expansion

A

pneumothorax
pleural effusion
collapsed lung
consolidation

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4
Q

causes of bilateral decreased chest expansion

A

asthma
COPD

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4
Q

causes of bilateral decreased chest expansion

A

asthma
COPD

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5
Q

hyperresonant

A

too much air
pneumothorax, COPD, hollow bowels

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6
Q

hypo resonant

A

fluid/solid where there should be air
tumour, consolidation, collapse

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7
Q

stoney dull sound means…

A

pleural effusion

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8
Q

decrease in tactile vocal fremitus

A

decrease in density due to…
pneumothorax, COPD
increase in distance between chest wall and lungs due to fluid…
pleural effusion

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9
Q

increase in tactile vocal fremitus

A

increase in density…
consolidation in pneumonia, tumour tissue in cancer

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10
Q

cervical lymph nodes

A

submental
submandibular
preauricular/parotid
(tonsilar)
occipital
superior deep cervical
(posterior cervical)
inferior deep cervical
supraclavicular

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11
Q

resp causes of cervical lymphadenopathy

A

lung cancer metastasising to lymph nodes
respiratory tract infection
tuberculosis
sarcoidosis

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12
Q

triangle of safety

A

lateral edge of pectorals major
lateral edge of latissimus dorsi
base of axilla
5th intercostal space
(draining fluid from the pleura)

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13
Q

conditions that cause wheeze

A

COPD, asthma

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14
Q

conditions that cause crepitations

A

consolidation due to pneumonia

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15
Q

conditions that cause pleural rub

A

pleural effusion

16
Q

conditions that can cause stridor

A

airway obstruction with foreign body

17
Q

pericardiocentesis x2 methods

A

left 5th ICS near the sternal border - needle applied perpendicular to chest wall (with echocardiographic guidance) - cardiac notch in left lung and pleura allows a bare area

left sub-xiphersternal approach - needle applied (with echocardiographic guidance) at an angle pointing towards left shoulder advancing posteriorly and superiorly

(draining fluid from the pericardium - in cardiac tamponade)