Resp Flashcards
What happens at sternal angle
Trachea bifurcates
Aortic arch begins and ends
ICS at nipple line of males
4th ICS
Level of xiphisternum
T8/T9
Examining symmetrical inflation of lungs
Hands firmly of anterior ribcage Thumbs meet in anterior midline Beneath breast of female Patient to take a deep breath Repeat on posterior at T10- for lower lobe
Rate of breathing
12-20 is normal
Percussion of lungs
Anteriorly Apex Upper Middle- above nipple Lower- below and lateral of nipple Around Side
Posteriorly- get patient to cross arms
Apex
Upper
Lower
Surface marking of lungs
Apex- down to level of 6th CC
6th CC MCL
8th CC MAL
Scapular line 10th rib
Left lung notch from 4-6th CC of 2-3 cm
Oblique and horizontal Fissures
Oblique right and left- posterior T3 and anteriorly 6CC- join
Horizontal- -right
4th CC- meets oblique in MAL
Parietal Pleura markings
8th rib MCL
10th MAL
12th rib Scapula line
Left- cardiac notch- shallower than left lung
Angle of safety
Inferior- 4/5th ICS
Anterior- axillary fold of pectoris major
Posterior- latissimus dorsi
Apex- below axilla
Visceral and parietal pleura
Continuous around hilum
Mediastinum pleura
Parietal pleura that covers the mediastinum
Significant landmarks
First palpable vertebra: C7
Superior angle of scapulae: T2
Medial ends of scapulae: T3
Level with inferior angles of scapulae: T7
Level of jugular notch, sternal angle, transpyloric plane, subcostal plane
T3, T4/5, L1, L2
Auscultation of lungs
Anteriorly At apex- above clacvicle Around 3rd ICS- upper lobe Next to nipple- middle lobe of right and upper for left Round to the side for lower
Posteriorly - get patient to cross arms
At apex
Superior lobe- around medial end of scapula
Lower lobe- around 8th rib
