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Respiratory System

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
abnormal sounds superimposed on breath sounds   show
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show Atelectasis  
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show Bronchoscopy  
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acute inflammation of the mucous membranes of the nose and accessory sinuses, usually accompanied by edema of the mucus membranes and nasal discharge   show
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short, discrete, interrupted crackling or bubbling sounds; most commonly heard upon inspiration   show
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show Cyanosis  
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show Dyspnea  
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show Embolism  
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show Empyema  
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show Epistaxis  
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an increase in the severity of a disease or disorder, marked by an increase in signs and symptoms   show
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caused by external factors   show
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greater than normal amounts of carbon dioxide in the blood   show
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show Hypoventilation  
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an inadequate, reduced tension of cellular oxygen   show
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caused by internal factors   show
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an abnormal condition in which a person must sit or stand in order to breathe comfortable or deeply   show
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low pitched, grating or creaking lung sounds that occur when inflamed pleural surfaces rub together during respiration   show
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show Pneumothorax  
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musical, high pitched, squeaking or whistle like sound caused by rapid movement of air through narrowed bronchioles   show
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low pitched, loud, coarse, snoring sound   show
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show Stertorous  
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show Tachypnea  
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show Thoracentesis  
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power of microorganism to produce disease   show
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Subjective data in a nursing assessment for a respiratory disorder should include   show
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Objective data in a nursing assessment for a respiratory disorder should include   show
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show anxiety, decreased ability to concentrate, disorientation, fatique, vertigo, increased pulse  
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show 7.35 to 7.45  
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show 35 to 45  
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show 80 to 100  
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normal HCO3 range on ABG   show
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show >92%  
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show mediastinoscopy  
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endoscopic visualization of the larynx only performed under local or general anesthesia   show
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endoscopic visualization of the larynx, tranchea, and bronchi   show
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show remove jewelry, wear hospital gown  
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what instructions should a patient be given before collection of a sputum sample?   show
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show to reduce patient anxiety  
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this diagnostic lab is performed on sputum or pleural fluid to detect the presence of abnormal or malignant cells   show
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show pulmonary function test  
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what kind of syringe is used to obtain an ABG sample?   show
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how large of a sample is needed for an ABG?   show
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what test should be performed before an ABG to determine ulnar circulation?   show
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show 5 minutes  
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how should an ABG sample be transported to the lab?   show
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what procedure should always be performed following a throacentesis?   show
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show Pulmonary Edema  
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Symptoms of this chronic obstructive pulmonary disease usually appear in the late forties; etiology includes changes in the alveolar walls and capillaries leading to decreased pulmonary surface area and inflammation of the bronchi, bronchioles, and alveol   show
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show exertional dyspnea, sputum, use of accessory muscles, pursed lip breathing, barrel chest, wheezing, weight loss  
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diagnostic tests for emphysema   show
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medications used to treat emphysema   show
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should patients with COPD be encouraged to drink more or less fluid daily and why?   show
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because of issues with exertional dyspnea, emphysema patients should rest 30 minutes before these daily activities   show
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patient teaching for emphysema should focus on   show
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show not usually  
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what is the clinical definition of chronic bronchitis?   show
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etiology of chronic bronchitis includes…   show
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signs and symptoms of chronic bronchitis   show
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diagnostic tests for chronic bronchitis   show
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medications used to treat chronic bronchitis   show
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show extrinsic asthma  
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show intrinsic asthma  
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these factors can influence recurrence of asthma attacks   show
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show asthma  
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acute asthma attacks are caused by the release of ….   show
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show ABG, PFT, chest xray, sputum culture, CBC, theophylline level  
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show bronchodilators, corticosteroids, leukotriene inhibitors  
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show bronchodilators, corticosteroids, epinephrine, IV aminophylline, O2  
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show status asthmaticus  
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show bronchiectasis  
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show dyspnea, weight loss, fever, cyanosis, finger clubbing, coughing, foul smelling sputum  
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medical management of bronchiectasis includes   show
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Ringing in ears   show
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nosebleed   show
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show HGB, HCT, Coag panel, Rhinoscopy  
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show packing with gauze saturated with epi, cautery, ice, direct pressure  
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show injuries, infections, allergies, dyspnea  
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show xray, direct observation  
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show surgery, meds to reduce obstruction  
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following nasal surgery what should the patient be instructed to avoid   show
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common complaints associated with a diagnosis of allergic rhinitis   show
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show edema, PND, excessive secretions  
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show skin test, serum radioallergosorbent test  
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show antihistamines, decongestants  
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show allergies, motion sickness, insomnia, reactions, cough  
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show constipation, dry eyes and mouth, blurred vision, sedation  
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what are some systemic antihistamines?   show
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antihistamines should be administered how long before exposure to an allergen?   show
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show increase risk of CNS depression, increase the action of anticholinergics, MAOI’s increase action and slow metabolism of antihistamines  
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what is the mechanism of action of decongestants?   show
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show to decrease production of respiratory secretions  
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what are some possible side effects of decongestants?   show
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what are the two most common administration routes for decongestants?   show
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show flonase, afrin  
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show phenylephrine, pseudoephedrine  
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show don’t use more than three days  
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show hoarseness, difficulty swallowing, “lump in throat”  
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show visual exam, CBC, laryngoscopy, biopsy  
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show radiation, surgery  
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show eating  
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show cough, watery nasal drainage, sore throat  
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what are some diagnostic procedures appropriate for rhinitis?   show
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show analgesics, antipyretics, cough suppressants, antibiotics  
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what are some common complaints with pharyngitis?   show
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show visual exam, culture  
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show antibiotics, analgesics, antipyretics  
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what are some common complaints with adenoiditis?   show
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show culture, visual exam(patchy tonsilar exudates)  
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show antibiotics, analgesics, surgery  
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show hoarseness, scratchy throat, persistant cough  
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what are some diagnostic procedures appropriate for laryngitis?   show
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what are some common treatments for laryngitis?   show
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show headache, sinus pain, tenderness, pressure, and prurulent discharge  
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show xray, transillumination  
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show surgery, antibiotics, analgesics, antihistamines, vasoconstrictors, warm moist heat  
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what are some common complaints in tonsilitis?   show
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show culture (especially strep)  
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show surgery, antibiotics, analgesics, antipyretics  
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show pain and difficulty swallowing, fever, malaise, ear pain, *****DIFFICULTY TALKING*****  
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show visual exam, culture  
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show surgery, antibiotics  
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show productive cough, low grade fever, ****rhonchi and wheezes****, dyspnea, chest pain, headache  
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show xray, sputum culture  
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what are the treatments for bronchitis?   show
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what are some common complaints in legionanaires’ disease?   show
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show tachypnea, crackles and wheezing, shock, hematuria and renal failure  
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what are some diagnostic tests appropriate for legionnaires’ disease?   show
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what are the treatments for legionairres’ disease?   show
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what type of environment does legionnaires’ usually live in?   show
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show inhalational  
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show cutaneous, gastrointestinal, inhalation  
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what are the treatments for anthrax?   show
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show inhalation  
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a positive PPD with negative chest xray indicates what?   show
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show immunosuppression  
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what type of room should a patient with TB be in?   show
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show isoniazid, rifampin, ethambutol, rifapentine  
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what is an important point of patient education for rifambin?   show
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what common substance has a known drug interaction with isoniazid?   show
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show bacteria, aspiration, viral, fungal chemical  
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show cultures, xray, cbc, pft, abg  
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what are some treatments for pneumonia?   show
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what are some factors that make older adults more susceptible to pneumonia?   show
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show suppresses cough reflex  
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show reduces viscosity of respiratory secretions  
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inflammation of visceral and parietal pleura   show
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what are some symptoms of pleurisy?   show
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show xray, auscultation(pleural friction rub)  
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show pleural effusion  
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show thoracentesis, chest tube  
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collapse of lung tissue   show
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show shallow breathing, copious secretions, aspiration, hypoventilation, tumors  
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show xray, ABG, Bronchoscopy  
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show chest tube, deep breathing and coughing, intubation  
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show asthma  
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drugs that produce bronchodilation by mimicking the effects of the sympathetic nervous system   show
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what are some commonly used bronchodilators?   show
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show corticosteriods  
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show corticosteroids  
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show leukotriene receptor antagonists and mast cell stabilizers  
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show tremors, anxiety, throat irritation  
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when administering both a sympathomimetic and corticosteroid inhaler, what is the proper sequence?   show
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what is the minimum waiting time between aerosol inhaler administrations?   show
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show isoproternol and epinephrine  
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show metaproternol  
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this class of antiasthmatic is commonly used as a daily therapy for long term asthma management   show
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what are some examples of adrenergic bronchodilators?   show
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what time of day should once daily doses of xanthines be administered?   show
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show pneumothorax  
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show tension pneumothorax  
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show decreased or absent breath sounds, abnormal chest movement  
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show xray, abg  
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most common type of lung cancer   show
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accumulation of serous fluid in interstitial lung tissue and alveoli   show
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hallmark symptom of pulmonary edema   show
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non cardiogenic pulmonary edema   show
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show 2 to 3 LPM  
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