Respiratory Assessment Findings Flashcards
1
Q
Where do you feel the strongest vibrations for fremitus?
A
- between the scapulae and around the sternum
- dec. as you go further down
2
Q
Decreased fremitus indicates?
A
- pleural effusion
- COPD
3
Q
Increased fremitus occurs when ____
A
- compression or consolidation of lung tissue
- pneumonia
4
Q
Crepitus
A
- coarse crackling (palpable)
- occurs in subcutaneous emphysema
5
Q
Resonance
A
long, loud, low pitched
- normal lung
- hollow structures
6
Q
Hyper-resonance
A
lower pitched, booming sound
- too much air is present
- emphysema/ pneumothorax
7
Q
Dullness
A
soft/muddled thud
- over solid organ (liver)
- abnormal density
- pneumonia, pleural effusion, atelectasis
8
Q
Where is dullness normally heard?
A
liver or visceral
9
Q
What percussion sound over scapula?
A
flat
10
Q
Flatness
A
soft intensity
- over bone or muscle
11
Q
Tympany
A
loud, drum-like, high pitched
stomach, gastric bubble
12
Q
Bronchial location?
A
trachea and larynx
- anterior only
13
Q
Broncho-vesicular location?
A
anterior = 1st and 2nd intercostal space posterior = between scapulae (esp. right)
14
Q
Vesicular
A
peripheral lung fields
15
Q
Pneumonia sound?
A
coarse crackles
