Term
| Left oblique fissure (of left lung) medial ending. |
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Definition
| Sixth rib mid-clavicular line. |
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Term
| Bottom corners of Right upper lung lobe is located at __ rib medially and __ rib laterally. |
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Definition
| Fourth rib @ sternal border and fifth rib mid-axillary line. |
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Term
| Where do the horizontal fissure and the right oblique fissure meet? |
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Definition
| Fifth rib, midaxillary line. |
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Term
| What spinal level to lungs end at? |
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Definition
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Term
| What spinal level are oblique fissures at? |
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Definition
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Term
| What is diaphragmatic excursion? |
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Definition
| Diaphragmatic excursion is the distance the base of the lung moves between deep inspiration and full exhalation. |
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Term
| What is pectus excavatum? |
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Definition
| lower costal cartilage becomes deformed, allowing the inferior sternum and xiphoid to curve toward the spine. This “caved-in” appearance of the chest can cause cardiac as well as respiratory compromise |
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Term
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Definition
| the sternum protrudes forward like the keel of a ship |
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Term
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Definition
| High-pitched squeaking sound most often hear during full inspiration or expiration |
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Term
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Definition
| Dry, grating sound caused by inflammation of pleural surfaces; heard during inspiration, expiration, or both; loudest over lower lateral anterior S of chest wall. |
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Term
| What is standard # breaths per min? |
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Definition
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Term
| What is Kussmaul breathing? |
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Definition
| Rapid, deep, labored breathing seen in DKA, strokes |
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Term
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Definition
| Disorganized pattern of breathing of varying volume w/periods of apnea (seen w/head injury) |
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Term
| What is ataxic breathing? |
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Definition
| Extreme form of Biot respirations with greater variation in volume of air exchanged. |
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Term
| How do you determine if grating sensation on inspiration is pleural or pericardial? |
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Definition
| Have pt hold breath, see if vibration ceases. |
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Term
| Tactile vocal fremitus- what would decreased sensation during pt vocalization indicate? |
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Definition
| collapsed lung, bronchial obstruction |
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Term
| Tactile vocal fremitus- what would increased sensation during pt vocalization indicate? |
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Definition
| Fluid, blood, pus, or a mass within lung parenchyma |
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Term
| Does standard pneumothorax push trachea away or pull trachea toward affected side? |
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Definition
| collapse of lung tissue pulls trachea toward affected side. |
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Term
| Does tension pneumothorax pull or push trachea from affected side? |
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Definition
| Trapped air pushes trachea away from affected side. |
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Term
| What does hyperresonance of the lung indicate? |
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Definition
| emphysema, pneumothorax, asthma |
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Term
| What does dull or flat percussion sounds in lung indicate? |
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Definition
| atelectasis, solid mass, pleural effusion, hemothorax, empyema |
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Term
| Use diaphragm or bell to examine thorax? |
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Definition
| Diaphragm- most pathologic sounds are of higher pitch. |
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Term
| What are vesicular lung sounds? |
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Definition
| Heard over most of the lung fields- low pitch, longer inspirations with soft, short expirations. |
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Term
| Bronchovesicular lung sounds? |
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Definition
| Heard over mainstem bronchi and upper R posterior lung field heart is in this area on the L), medium pitch, expiration = inspiration. |
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Term
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Definition
| Heard only over the trachea- high pitch with loud and long expirations. |
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Term
| What are fine crackles/rales? |
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Definition
| High pitched, discrete, discontinuous crackling sounds heard during the end of inspiration; not cleared by coughing. |
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Term
| What are course crackles? |
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Definition
| Loud, bubbly sounds heard during inspiration; not cleared by coughing. |
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Term
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Definition
| Listen to corresponding lung areas on R and L lung as pt vocalizes a phrase respectivelky such as "1, 2, 3" |
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Term
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Definition
| Have the patient vocalize "eeeee..." over and over as you listen. A change in the auditory quality fron E to A may indicate consolidation. |
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Term
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Definition
| Pt whispers phrase repeatedly- if the whisper is heard louder on one side, it may indicate consolidation. |
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