THORAX & LUNGS ASSESSMENT Flashcards
The _____ forms the thorax (chest) portion of the body. It consists of the 12 pairs with their costal cartilages and the sternum. These are anchored posteriorly to the 12 thoracic vertebrae (T1-Tl2). It protects the heart and lungs.
thoracic cage (rib cage)
The ribs are classified as ______ and _____. The last two pairs of false ribs are also known as _______
true ribs (1-7) & false ribs (8-12);
floating ribs (11-12).
It is the elongated bony structure that anchors the anterior thoracic cage. It consists of three parts: the manubrium, body, and xiphoid process.
Sternum
The _____ is the wider, superior portion of the sternum.
manubrium
The top of the manubrium has a shallow, U-shaped border called the _______
jugular (suprasternal) notch.
The elongated, central portion of the sternum is the body. The inferior tip of the sternum is the _____. This small structure is cartilaginous early in life, but gradually becomes ossified starting during middle age.
xiphoid process.
It is located between the ribcage (sternum) and the shoulder blade (scapula). It is the bone that connects the arm to the body.
Clavicle
It is the eponymous name given to the sternal angle which is the palpable anatomical feature formed from the manubriosternal junction.
ANGLE OF LOUIS
The _______ is the joint of the sternal body and the manubrium.
manubriosternal junction
This angle of Louis is a ______, a type of joint characterized as a fibrous connection between two bones (the manubrium and the sternal body in the case of the angle of Louis) which does not allow any significant movement.
synarthrosis
ACCORDING TO UNDERLYING LUNGS AND LOBES, RIGHT LUNG HAS ____ LOBES
3 (Upper, Middle, Lower)
ACCORDING TO UNDERLYING LUNGS AND LOBES, LEFT LUNG HAS ____ LOBES
2 (upper & lower)
INSPECTION OF THORAX AND LUNGS INCLUDES:
• Shape
• Scars
• Prominent veins
• Resp rate and rhythm
• Chest wall movement
• Intercostal recession
• Added sounds
• Cyanosis
• Sputum
the chest and abdomen move in the same direction during breathing.
Symmetrical
occur when air gets trapped in the lungs and causes them to overinflate. It can be caused by blockages in the air passages or by air sacs that are less elastic, which interferes with the expulsion of air from the lungs.
Hyperinflated lungs
_____ is an obvious sign that the portion of the chest wall is not assisting with the breathing function.
Paradoxical movement
IN PALPATION OF THORAX AND LUNGS, WE CHECK FOR:
• Tenderness
• Position of apex beat
• Chest wall expansion
The actual beat which you can feel is the very tip of the _____ pushing against the chest wall as the left ventricle contracts and the heart is pushed against it. As you feel the apex beating it should be in time with the carotid pulse.
left ventricle
Assessing for chest expansion (symmetric or asymmetric) provides clues regarding the presence of:
chest wall pathology;
lung volume loss or obstruction
According to a study normal range of chest expansion is _____
2-5 cm
In percussing, start over the clavicles move down anterior chest, ensure to percuss over ______
lateral chest
Description of resonant sound
Long
loud
low pitched
hollow