Topic 11 - Describe the examination findings of inspection, palpation and auscultation of the canine thorax! Flashcards
How to examine thorax?
- Inspection
- Palpation
- Auscultation
What to inspect with the thorax?
Skin on chest - Long coat might make it difficult
Posture
Gait
Respiratory movement
Normal posture of dog:
Standing on all 4 legs, equal weight
What can cause change shape of the skin of chest?
- Lordosis will change the shape of the chest
- Oedema in chest can collect centrally and change the shape
Which parameters to observe during respiratory movements?
- Frequency
- Rhythm
- Type
- Depth
Normal frequency of respiratory movements
15-30 breaths per minute
Normal reasons for increased frequency of respiratory movements:
- Excitement
- Work
- Obesity
- High temperature
- Pregnancy
Abnormal reasons for increased frequency of respiratory movements:
- Fever
- Hypoxia
- Hypercapnia
- Pain in the respiratory organs
Abnormal reasons for decreased frequency of respiratory movements:
- CNS problems
- Severe pain
- Shock
- Toxicosis
Normal rhythm of respiratory movements
Regular and even
Normally inspiration is a bit longer than expiration
Reasons for a dog to hold its inspiration:
- Narrowed upper airway
- High abdominal pressure due to pregnancy, ascites etc
Reasons for a dog to hold its expiration:
- Decreased lung capacity
Reasons due to shorter inspiration and expiration:
Pain
Reasons due to longer inspiration and expiration:
- Exhausting work
Reasons due to abnormal inspiration and expiration:
pain in the chest
Reasons due to asymmetric inspiration and expiration:
Pain in one lung lobe
Normal type of respiratory rhythm in dog:
Costabdominal
Reasons for abnormal costal respiratory rhythm:
- Problems with diaphragm
- Abdominal pain
Reasons for increased respiratory rhythm:
Pregnancy
Reasons for abnormal abdominal respiratory rhythm:
painful chest disease
Paralysis of the intercostal muscles
Normal depth of respiratory:
Medium deep
Reasons for shallow depth of respiratory movements:
Painful chest or diaphragm
Reasons for deep depth of respiratory movements:
- Exercise
- Hypoxia
Which parameters to observe during palpation?
- Temperature of skin
- Fremitus
- Check for pain and deformities
Normal temperature of skin on the thorax:
Same as the surroundings
What is fremitus, and how to check for it?
vibration transmitted through the body
By placing a hand on the body
How to ausculate?
Start from the front and go towards back, and then from up to down.
Auscultate every 3rd of the thorax, in a quiet environment
Normal respiratory sound of dog:
Soft, blowing sound
Which different respiratory sound do we listen for during auscultation?
- Heart sound
- normal respiratory
- Bronchial sound
Where do we listen for the bronchial sound?
Right behind the scapula