Week 3 - Evaluation of patient with Pulm. Diseases Flashcards
What are the 8 macroscopic level evaluations that can be used for evaluating a patient with potential pulmonary disease?
Physical examination, Chest radiography, CT, MRI, radionuclide lung scanning, pulmonary angiography, ultrasound, and bronchoscopy
What are the two evaluations done on a microscopic level to rule out pulmonary disease?
Obtaining specimens and processing the specimens
What are the three function level tests that can be done to rule out pulmonary disease?
Pulmonary function test (PFT), Arterial blood gases, and Exercise testing
What is another word for abnormal breath sounds?
Adventitious breath sounds
What are the two goals of auscultation?
Assessment of breath sounds and detection of adventitious sounds
Consolidated lungs (Do/Do not) transmit sound in the same way as air-containing lungs.
Do not
What is bronchophony?
When spoken words are best heard over that specified area
When there is consolidation and they say the letter “E”, what does it sound like?
It sounds more like a nasally “A”
When “E” starts to sound like the letter “A” and the patient has confirmed consolidation, what phenomenon is this referred to as?
The “E-to-A” change
What are three adventitious lung sounds that can be heard when auscultating?
Wheezes, crackles, and friction rubs
When crackles are heard during inspiration is the ____ sounds of the small airways and alveoli
Opening
Wheezes are high pitched noises generated by _______ airways
Narrowing
In a Normal Lung, what is the:
- Percussion
-Fremitus
-Breath sounds
-Voice transmission
-Crackle presence
- Percussion: Resonant
-Fremitus: Normal
-Breath sounds: Normal
-Voice transmission: Normal
-Crackle presence: Absent
In a Consolidated or atelectasis (with patent airway), what is the:
- Percussion
-Fremitus
-Breath sounds
-Voice transmission
-Crackle presence
- Percussion: Dull
-Fremitus: Increased
-Breath sounds: Bronchial
-Voice transmission: Bronchophony, Whispered pectoriloquy, egopony
-Crackle presence: Present
In a Consolidated or atelectasis (without patent airway), what is the:
- Percussion
-Fremitus
-Breath sounds
-Voice transmission
-Crackle presence
- Percussion: Dull
-Fremitus: Decreased
-Breath sounds: Decreased
-Voice transmission: Decreased
-Crackle presence: Absent
