respiratory Flashcards
name respiratory causes of clubbing
lung cancer bronchiectasis empyema pulmonary fibrosis alveolits cystic fibrosis
what might cause a patient to have a ruddy complexion
polycythaemic
how should you inspect the mouth
outside
under tongue
what is a normal ap diameter
1;2
what could a raised JVP indicate
right heart failure secondary to chronic lung disease or PE
what should you not percuss over
the scapula
what should you remember to percuss
apices and clavicles
what could causes a hyper resonant lung
emphysema, bullae or pneumothorax
what could cause dullness
collapse, consolidation or fibrosis
what could cause the chest to sound stony
pleural effusion
what is the role of vocal resonance
if you find an area of dullness on percussion you can use vocal resonance to find out whether this is caused by a solid e.g. fibrosis or consolidation(increased resonance) or collapse and effusion (dull)
how do you perform tactile vocal fremitus
one hand over dull area and one over normal area on other side
say 99 and feel
how do you do vocal resonance
auscultate over an area of dullness and say 99. compare to other side
how do you ausculate
take deeper breaths through the mouth
listen for one cycle at each position
dont forget axillae
