Week 3 lungs and thorax Flashcards

1
Q

common symptoms of a subjective assessment of lungs and thorax

A

chest pain
shortness of breath
cough
wheezing
hemoptysis

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2
Q

questions to ask regarding chest pain

A

initial question as BROAD as possible
location-point
OLDCARTS

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3
Q

wheezing

A

muscical respiratory sounds that may be audible to the patient and others

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4
Q

cough

A

typically a reflex resopnse to stimuli that irritates receptors in larynx, trachea, or large bronchi

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5
Q

5 A’s of tobacco cessation

A

ask about smoking
advise patients to stop
assess readiness to quit
assist to set stop dates and provide educational material
arrange follow up visits to montior and support

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6
Q

thorax and lungs examination: Inspect anterior and posterior chest

A

shape and configuration
symmetry
A/P ratio
quality of respirations

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7
Q

thorax and lungs examination: Palpate

A

entire chest
anterior and posterior expansion
tactile fremitus

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8
Q

thorax and lung examination: percussion

A

general anterior and posterior percussion for areas of consolidation/dullness/hyperresonance

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9
Q

thorax and lungs examination: ausculate

A

anterior posterior

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10
Q

thorax and lungs examination: perform consildation techniques

A

ego phony
bronchophony
whispered petroliqquoy

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11
Q

vesicular breath sounds

A

soft, low pitch, heard throughout inspiration and aprox 1/3 thru expiration

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12
Q

bronchovescular breath sounds

A

equal on inspiration and expiration, intermediate in pitch and intensity

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13
Q

egophony

A

listen with diaphragm, ask patient to say “eee” normal is long muffled E sound

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14
Q

bronchophony

A

listen with diaphragm, ask patient to say 99 (normal is muffled, louder more distinct sound is bronchophony)

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15
Q

pectoriloquy

A

listen with diaphragm, ask patient to whisper, 99, or 123 (normal is faint, indistinct if at all)

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