resp exam questions Flashcards
what is normal finding when percussing the lungs
resonant sound = normal
what does dullness upon percussion mean
increased tissue density eg
consolidation
fluid
tumoru
lung collapse
what does stony dullness mean
pleural effusion
what does hyper-resonance on percussion mean
pneumothorax
ie. suggestive of decreased tissue density
signs you’d find in CONSOLIDATION
mediastinal shift- none
percussion note- dull
breath sounds- bronchial/decreased
vocal resonance- increased
signs youll find in COLLAPSE
mediastinal shift- towards
percussion note- dull to percuss
breath sounds- decreased/absent
vocal resonance- decreasedd/absent
signs you’ll find in PNEUMOTHORAX
mediastinal shift- AWAY IF TENSION
percussion note- HYPERRESONANT
breath sounds- DECREASED/ABSENT
vocal resonance- DECREASED/ABSENT
Signs youll find in EFFUSION
mediastinal shift- AWAY FROM AFFECTED LUNG
percussion note- STONY DULL
breath sounds-DECREASED
vocal resonance- DECREASED
Signs you’d see in pt with PNEUMONECTOMY
mediastinal shift- TOWARDS
percussion note- DULL
breath sounds- ABSENT
vocal resonance- ABSENT
REASON FOR PT HAVING MIDLINE STERNOTOMY SCAR
CABG
LUNG TRANSPLANT
REASON FOR HAVING THORACTOMY SCAR
LOBECTOMY- CANCER, ABSCESS
PNEUMONECTOMY- for small cell lung cancer, TB, COPD
LUNG TRANSPLANT
OESOPHAGECTOMY
horners syndrome
ptosis
miosis
anhidrosis
= indicates pancoast tumour
causes of central cyanosis
hypoxic lung disease
R to L cardiac shunts
cyanotic congenital heart disease
eisenmenger’s syndrome
causes of candida
immunocompromised patient
steroids
what 3 things do you assess when auscultating
quality- vesicular/bronchial ie. consolidation
volume- quiet suggests reduced air entry ie. consolidation/collapse/fluid
added sounds:
- wheeze- asthma copd
- coarse crackles- pneumonia/fluid
- fine crackles- pulm fibro
vocal resonance- increased if consolidation/fluid/tumour
