Week 6 Pulmonary and Chest Exam Flashcards
what are some assessments we use
respiratory (MIP and MEP) chest wall mobility respiration and ventilation lung segment exam observation cough function QOL reports exercise capacity balance mobility and strength
barrel chest is indicative of
COPD
what does leaning on a wall or leaning in a chair mean with respiratory things
that they are leaning to employ accessory muscles so they can breathe with additional help.
kids with respiratory disorders usually do what
flare their nostrils
can scoliosis affect repository things
yes
how can you test tracheal position
flex the neck slightly, index finger in the suprasternal notch, then go just medical to each SC joint and push inwards towards the C-spine and repeat not he other side
what does a deviation of the trachea mean if it is away from the lesion
pneumothorax.
when palpating the thoracic wall, what are you examining for
credits, tenderness, masses, large costal muscles and intercostal spaces.
what is the compression test for rib fracture
one hand supports the back and you compress the sternum. this should elicit pain at the fracture site.
in what directions do the walls usually move
superiorly, anteriorly and laterally
how can you test for thoracic wall movement
have hands on each side with thumbs on midline, and have them breathe deeply. the thumbs should move laterally away from the midline.
what does asymmetric excursion of the chest suggest
a lesion on the lagging side in the chest wall, the pleura, or the upper lobe of the lung.
in what areas do you have your hands when examining the upper thorax middle thorax posterior thorax costal margins.
upper thorax: traps
middle thorax: axilla
posterior thorax: lats
costal margins: lateral ribs
how can we measure excursion
put a tape measure around the chest wall and the xiphoid process. can also use half way between umbilicus and the xiphoid
what is normal excursion
2-3 inches or 4-6 cm.
