Week 3 lungs and thorax Flashcards
common symptoms of a subjective assessment of lungs and thorax
chest pain
shortness of breath
cough
wheezing
hemoptysis
questions to ask regarding chest pain
initial question as BROAD as possible
location-point
OLDCARTS
wheezing
muscical respiratory sounds that may be audible to the patient and others
cough
typically a reflex resopnse to stimuli that irritates receptors in larynx, trachea, or large bronchi
5 A’s of tobacco cessation
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
thorax and lungs examination: Inspect anterior and posterior chest
shape and configuration
symmetry
A/P ratio
quality of respirations
thorax and lungs examination: Palpate
entire chest
anterior and posterior expansion
tactile fremitus
thorax and lung examination: percussion
general anterior and posterior percussion for areas of consolidation/dullness/hyperresonance
thorax and lungs examination: ausculate
anterior posterior
thorax and lungs examination: perform consildation techniques
ego phony
bronchophony
whispered petroliqquoy
vesicular breath sounds
soft, low pitch, heard throughout inspiration and aprox 1/3 thru expiration
bronchovescular breath sounds
equal on inspiration and expiration, intermediate in pitch and intensity
egophony
listen with diaphragm, ask patient to say “eee” normal is long muffled E sound
bronchophony
listen with diaphragm, ask patient to say 99 (normal is muffled, louder more distinct sound is bronchophony)
pectoriloquy
listen with diaphragm, ask patient to whisper, 99, or 123 (normal is faint, indistinct if at all)
