Respiratory Flashcards
methods of examining paranasal sinuses
external and insternal inspection, palpation, auscultation, percussion, smelling
11 things to check with nose and paranasal sinuses
Shape form of nose, occurrence of nasal stridor, expired air, occurrence of nasal discharge, nasal plane, nasal openings, mm, palate, nasopharynx, paranasal and frontal sinuses
Normal nose noise
= faint regular noise during expiration
definition of stridor
narrowed air passages
Nasal stridor
– sniffling sound
Pharyngeal stridor
– snoring sound
Laryngeal stridor
– soft sawing sound
Collapsed trachea –
expiratory. Tooting sound
Larynx paralysis
– inspiratory stridor
Narrow trachea, bronchus
– mixed stridor
abnormal sounds
– purring, pain caused noises, groaning, howling, alteration of voice, noiseless, panting
what to measure in expired air
– strength, symmetry, temperature, odor, smell
what to check with nasal discharge
– continuity (permanent or periodic) side, quantity, quality, consistency (watery, mucous mucopurulent, hemorrhagic, foamy, food, foreign material, debris), colour, odor, smell
what to check with nasal plane
surface, colour, moisture
what to check with nostrils
shape, width, moveability, symmetry, mm
what to check with nasopharynx
abnormalities, mm
methods of examining paranasal and frontal sinuses
Inspection, palpation, percussion, endoscopy, x ray, CT, MR, diagnostic punction
names of the sinuses
– maxillares, frontalis, lacrimalis, palatinus, sphendoidalis, frontalis, ethmoidale, sphenopalatinae
definition of coughing
. Occurs via stimulation of airways from larynx to larger bronchi
what to check with cough (10)
origin frequency stregnth tone occurrence duration secretion content pain deepness quality of sputum
laryngeal cough
– episodical, heavy, gagging/retching, tendency to vomit
laryngeal paralysis cough
deep long cough
tracheitis cough
loud, explosive barking like
tracheal collapse cough
goose honking
bronchi acute cough
pattern
bronchi chronic cough
mucus, pus, wet, rough
cardiac disease cough
wet
hacking
pneumonia cough
soft
bronchitis cough
short, weak, dry
stimulated cough
medium held, unsnapping, medium intensive, medium depp, dry, sharp, painless, does not recur
inspection of larynx and pharynx
skin, deformatiy swelling symmetry. Epiglottis nasopharynx (symmetry, synchronous movement of arytenoids, rima glottidis, colour capillaries, deformation of mm)
palpation of larynx and pharynx
form outline muscles surface of larynx abnormal masses compressionability press sensitivity of arytenoids temperature painfulness fremitus
tonsils description
size shape semilunar fold colour surface symmetry
palpation of thorax
temp
fremitus pectoralis
painfulness
deformities
chest examination
skin size shape bilateral symmetry local deformaties