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Advanced Physical Assessment

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
When an infant inhale a foreign body, there’s   show
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Obstructive lung dz, the problem is in   show
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Air gets in, but then it gets trapped in   show
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Restrictive lung dz   show
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show air is replaced with fluid and so it becomes denser- solidified- sound is transmitted better- more fluid or less air- decreased air to fluid ratio- alveolar pneumonia and left ventricular failure  
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show bronchial and bronchovesicular sounds in the peripheral area, and you hear bronchophony, and egophony and whispered pectoriloquy- tactile fremitus is ↑- ask for a chest XR  
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show collapse of the alveoli- segment of the lung- lung becomes more dense- consolidation- physical obstruction  
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show air tension enters the pleural space- loses it’s negative space  
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show medical emergency-  
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Pleural effusion   show
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Emphysema you find   show
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CHF you find   show
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Reason to hospitalize pt for pneumonia   show
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show tachypnea, respiratory distress, possible cyanosis, fever, ↑ tactile fremitus, percussion will be dull in the area, broncho veicular and bronchial in the peripheral areas, wheezing, increased voice sounds- over the area of the consolidation  
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Lobar atelectasis   show
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show tachypnea, ↓expansion on affected side, …. PERCUSS THIS ONE- dull to flat- lung sounds absent,tactile fremitus decreased, trachea to side  
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show tachypnea, ↓expansion on affected side, do chest XR CT, absent tactile fremitus on affected side, ↓excusion on affected side, trachea deviated away from lg pneumothorax, air surrounding lung is hyperresonant, lung sounds transmitted diminished  
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show respiratory rate  
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show CHF  
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Dull to percussion is what   show
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show infection in an otherwise healthy chest- 90% viral- just do something for the cough  
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Pulmonary embolism   show
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COPD   show
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Created by: arsho453
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