respiration, i suppose

Question 1

somethings you will see bact. pnuemonnia

Answer 1

labored breathing, faster rate, faster rate of heart beat. fever.
tactile fremitus—asymmetry, no vibes on filled side—rule is inside the lungs air insulates vibration and sound; inside the lungs, consolidation amplifies vibration and sound
We will grade air as ABCD or F, it would be C, it does a passable job
consolidation is an A student

Question 2

5 things of consolidation

Answer 2

blood, pus, edema, tumor, proteinaceous fluid….

Question 3

on side of consolidation, lung sounds will be

Answer 3

louder

Question 4

with percussion, how will consolidation compare?

Answer 4

duller

Question 5

sounds where trachea is bifurcated

sounds at midline

Answer 5

bronchovesicular

bronchotracheal

Question 6

with bilateral pneumonia

Answer 6

you won’t have that asymmetry

you’re gonna have to compare him/her to past patients

Question 7

stridor is what

Answer 7

loud sounds coming from larger airways, noisy labored breathing

Question 8

mediastinal crunch (Hamman sign) is what---ish
adventitious breath sounds

Answer 8

crepitus kinda

subcutaneous air

Question 9

digital clubbing can be found with what broad categories

Answer 9

emphysema, lung CA, Cystic fibrosis,
intrathoracic pathologies
2. would be intraabdominal path., Crohns, UC, etc
3. thyroid acropachy

Question 10

pale/blue nails would indicate

Answer 10

lack of Oxygen, Lungs or Heart

Question 11

Raynauds is again what

Answer 11

arterial spasming, stress, vibration or cold may cause this

Question 12

asthma

Answer 12

small reactive airway disease….bronchiole constriction

Question 13

atelectasis is what

Answer 13

incomplete expansion of the lung at birth or the collapse of the lung at any age..
more: segmental collapse, maybe pushed out, maybe there is an obstruction—then there is a collapse distal to that point
difference between this and pneumothorax—-air in the potential space of the pleura

Question 14

bronchitis is simply

Answer 14

inflammation of the large airways

“dirty chest xray”

Question 15

pleurisy

Answer 15

inflamm process involving the visceral and parietal pleura, which becomes edematous and fibrinous
“sharp pain” prob point to sides of ribs “deep stab”

Question 16

empyema

Answer 16

encapsulated purulent exudative fluid collected in the pleural space—between pleura, outside the lungs

Question 17

effusion

Answer 17

fluid outside the lungs, make a flat line on xray

Question 18

broncophony

Answer 18

louder transmission of words thru the consolidated side when listening with stethoscope

Question 19

egophony

Answer 19

conversion of long e sounds to a nasily a sound

bleating goat sound on side of consolidation

Question 20

harder to feel vibration when pleural effusion

and sound….and percussion

Answer 20

okokokokokokokokok

Question 21

being able to see the visceral-pleural line

Answer 21

separation from wall—-pneumothorax