Thorax and Lung assessment Flashcards
start process
Use inspection, palpation, percussion, and auscultation
Check for tactile fremitus use
use palmar aspect of hands, ask the patient to say “99”-
Bronchophony-vibrations should be
symmetrical
Percussion note is
resonant
Dull percussion note would indicate
fluid or solid lung tissue( abnormal)
Egophony-patient say “e” –normal lung tissue
muffled, abnormal is “a”
Absent breath sounds indicate
blocked bronchioles
Unequal expansion indicated
collapsed or partially obstructed lung
breath sounds; Tracheal
area( Bronchial)-
harsh pitched sounds , short inspiration and long expiration
breath sounds; Next to sternum and
in-between scapulae-
Bronchovesicular-
medium in loudness and pitch
breath sounds; Remainder of the
lungs- Vesicular-
soft low pitched
adventitious bs; Rhonchi-
musical ,low pitched, snoring,
heard during inspiration and expiration.
Can clear if patient coughs.
adventitious bs; Wheezes-
Musical , high pitched ,
squeaky whistling sounds. Mostly heard
during expiration
adventitious bs; fine crackles
Intermittent,
nonmusical, soft, high-pitched, short,
crackling, popping sounds. Mostly heard
during inspiration
adventitious bs; course crackles
Intermittent,
nonmusical, loud, low pitched, bubbling,
gurgling. Mostly heard during
inspiration.