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Thorax and Lungs 409
Question | Answer |
---|---|
Most common cause of cough | Smoking |
Most common symptom of lung disease | Cough |
Normal diaphragmatic excursion | 4-5cm |
What causes decreased diaphragmatic excursion | Emphysema, phrenic nerve palsy, atelectasis |
Abnormally high diaphragmatic excursion is due to | Atelectasis, pleural effusion |
What are the normal percussion of the lungs | Resonance |
Tympany sounds like | Gastric air bubble or puffed- out cheeks |
Dullness is heard over the | Liver |
Wheezes sounds like | Continous, high pitched |
Rhonchi sounds like | Continous, low pitched, snoring |
Crackles are | Discontinuous intermittent brief |
What is the Whispered pectoriloquy | Whispered 1-2-3 |
Normal sounds of whispered pectoriloquy | Faint and indistinct |
Abnormal sounds of whispered pectoriloquy | Loud and clear |
Bronchophony test consist Of | Saying 99 |
Normal bronchophony sounds are | Muffled |
Abnormal Bronchophony sounds are | Clear |
Egophony test consist of | Saying ee |
Abnormal egophony sounds are | EE is heard as Ay |
Ee to Ay is due to | Pneumonia |
what do abnormal voice sounds indicate | an airless lung |
what are the 5 A's of assessing readiness to quit smoking | 1. ask 2. advise 3. assess 4. assist 5. arrange |
Stridor is | high-pitched wheeze |
What is an ominous sign of airway obstruction in the larynx or trachea | stridor |
Flat Percussion Notes indicates | Large pleural effusion |
Dullness Percussion Notes indicates | Lobar pneumonia |
Resonance percussion notes indicates | Normal lung, simple chronic bronchitis |
Hyperresonance percussion notes indicates | Emphysema or pneumothorax |
Tympany percussion notes indicates | Large pneumothorax |
Vesicular breath sounds are heard | Most of the lungs |
Bronchovesicular breath sounds are heard | 1st and 2nd interspaces, interscapular area |
Bronchial breath sounds are heard | Over the manubrium, can mean lobar pneumonia |
Tracheal breath sounds are heard | Over the trachea |
Creaking like sounds | pleural rub |
precordial crackles synchronous with the heart bead, not with respiration | mediastinal crunch |
what position is mediastinal crunch best heard | left lateral position |