Assessment Breast, Thorax, Lungs
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Created by:
blundergirl on February 16, 2011
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47 terms
Terms | Definitions |
|---|---|
colostrum | thin, milky fluid secreted by the breast during pregnancy and during the first days after birth before lactation begins |
Cooper's ligaments | the suspensory ligaments that support the breast tissue and extend vertically from the surface to attach on the chest wall muscles. |
dimpling | indentation or retraction of subcutaneous tissue |
gynecomastia | Abnormal development of breast tissue in males |
ipsilateral | on or relating to the same side (of the body) |
lactiferous | milk-bearing |
mastitis | Inflammation of the breast |
Montgomery's glands | small elevated sebaceous glands in the areola. they secrete a protective lipid material during lactation |
mammogram | X-ray film of the soft tissue of the breast |
peau d'orange | dimpling, pitting, and swelling, seen in skin that is considerably inflamed or that overlies inflammatory carcinoma of the breast. |
retractions | indentations |
supernumerary nipple | more than two nipples |
tail of Spence | the superior lateral corner of breast tissue, which projects into the axillae |
adventitious | abnormal breath sounds heard during auscultation of the lung fields; may include rales (crackles), rhonchi (wheezes), or pleural friction rubs |
angle of Louis | used in counting ribs, it is at the level of the second rib |
apnea | cessation of breathing |
atelectasis | collapse of a lung |
bradypnea | slow breathing pattern less than 10/min |
bronchophony | Occurs with increased transmission of sound as in consolidation. Client says "99", words heard clearly and distinctly. |
consolidation | process of becoming solid, especially in connection with the lungs |
crackles/rales | popping sounds heard on auscultation of the lung when air enters diseased airways and alveoli- occurs in disorders such as bronchiectasis or atelectasis |
dead space | Areas of the lungs outside the alveoli where gas exchange with the blood does not take place. |
dyspnea | difficult or labored respiration |
diaphragmatic excursion | percussing to map out the lower lung border during expiration and inspiration |
egophony | a change in the voice sound of a patient with pleural effusion or pneumonia as heard on auscultation. When the patient is asked to make /ē-ē-ē/ sounds, they are heard over the peripheral chest wall as /ä-ä-ä/, particularly over an area of consolidated or compressed lung above the effusion. |
eupnea | normal relaxed breathing |
fissure | (anatomy) a long narrow slit or groove that divides an organ into lobes |
fremitus | tactile vibration felt in neck and over the upper thorax from the transmission of vocal sounds from the airways to the surface of the chest wall |
hemoptysis | coughing up blood |
hypercapnia | the presence of an abnormally high level of carbon dioxide in the circulating blood |
hypoxemia | deficient amount of oxygen in the blood |
intercostal space | spaces between the ribs; the first intercostal space is directly below the first rib, the second intercostal space is below the second rib, and so forth |
Kussmaul respirations | very deep and rapid respirations |
orthopnea | difficulty breathing unless in a sitting or standing position; not uncommon in severe cardiac and pulmonary disease |
pectus carinatum | pigeon chest; flattening of thorax on either side with forward projection of sternum resembling keel of a boat |
pectus excavatum | Funnel breast. Congenital condition in which the sternum is abnormally depressed |
paroxysmal nocturnal dyspnea | sudden gasping for air that occurs while sleeping at night |
resonance | the quality imparted to voiced speech sounds by the action of the resonating chambers of the throat and mouth and nasal cavities |
respiratory expansion | Same as respiratory excursion - measurement of difference between thumb placement (if your hands are on the client's back) when client inhales vs exhales |
rhonchi | ABNORMAL SOUNDS HEARD WHEN THE AIRWAY IS OBSTRUCTED, A WHEEZE |
tachypnea | rapid, shallow breathing pattern exceeding 20 breaths/min |
tinnitus | ringing in the ears |
tripod position | Position characterized by a posture that is upright and leaning forward with the head and neck thrust forward; associated with respiratory distress. |
vesicular | low pitched, breezy sounding, soft, long inspiration and short expiration, auscultated over the peripheral lung fields |
wheeze | breathing with a husky or whistling sound |
whispered prectoriloquy | an increased loudness of whispering noted during auscultation with a stethoscope on the lung fields on a patient's back |
vital capacity | maximum amount of air a person can exhale after taking the deepest breath possible |
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