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Y1 Clinical Skills > Respiratory Examination > Flashcards

Respiratory Examination Flashcards

1
Q

What order to do you follow whilst examining the chest?

A

Inspection
Palpation
Percussion
Auscultation

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2
Q

What is involved in the inspection phase?

A

RR
Respiratory rhythm - normal breathing
Use of accessory muscles
Sound
Chest movement
Barrel Chest
Pigeon chest
Sternal Depression

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3
Q

What is a normal RR

A

12-15 at rest

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4
Q

What does noisy breathing indicate?

A

Degree of airway obstruction

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5
Q

What does snoring whilst breathing indicate?

A

Obstruction at the pharynx

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6
Q

What does stridor indicate?

A

Obstruction at level of larynx

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7
Q

What is stridor?

A

A harsh inspiratory noise

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8
Q

Why may there be uneven movement of the chest?

A

Chest wall deformity
Reduced lung movement due to increased stiffness of the lung
Pleural thickening or effusion or lung collapse

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9
Q
A

Barrel chest

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10
Q
A

Pigeon chest

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11
Q
A

sternal depression

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12
Q

What is hyper-resonance? - percussion

A

When the lung contains more air than usual

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13
Q

what can cause hyper-resonance percussion note?

A

emphysema
pneumothorax

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14
Q

What does a dull or impaired noise during percussion mean?

A

lung has less air

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15
Q

what may cause a dull or impaired percussion note?

A

Lung collapse
Consolidation
Fibrosis

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16
Q

What does a stony dullness noise during percussion mean?

A

fluid is present

17
Q

what may cause a stone dullness percussion note?

A

large pleural effusion

18
Q

What conditions can diminish breath sounds?

A

Abnormally thickened chest wall
emphysema
poor chest movements
fluid or air in the pleural cavity
Pleural thickening
Total obstruction of a airway leading to collapse of lung or lobe

19
Q

What are potential abnormalities of breath sounds?

A

Sound being diminished
Increased breath sounds
alterations in quality of breath sounds
Added sounds
Voice sounds

20
Q

When can increased breath sound be heard?

A

Through a thin chest wall or if the patient is over breathing

21
Q

What are 3 examples of abnormal breath sounds?

A

Wheezes
Crackles
Pleural Friction Rub

22
Q

What are the 6 sections of a resp exam?

A

Intro
Initial observation
Peripheral exam
Examination of back of chest
Examination of front of chest
closure

Y1 Clinical Skills (4 decks)

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