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Chapter 8 Lungs & Respiratory
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Terms in this set (39)
________ is the term for rapid breathing
Tachypnea
___________ ____________ is the vibration felt with
the doctor's hands when the patient says "ninety nine"
Tactile fremitus
When you are palpating the position of the trachea, you notice a rhythmic downward
pull in time with the heartbeat, which is called ____________ ____________
Tracheal tugging
What causes tracheal tugging?
Aortic aneurysm
When listening to lung sounds with your stethoscope, what is
the loud high pitched sound heard over the trachea called?
Bronchial
When listening to lung sounds with your stethoscope, what is the
soft low pitched sound heard over the lung parenchyma called?
Vesicular
When listening to lung sounds with your stethoscope, what is the
moderate intensity moderate pitch sound heard over the bronchi called?
Bronchovesicular
Abnormal breath sounds, such as crackles and wheezes,
are referred to as _______________ breath sounds
Adventitious
When you hear crackles and you suspect your patient has pneumonia,
there is a confirmatory test you can perform, which involves listening to the
chest as the patient says "ninety nine". This test is called _____________
Broncophony
With the same situation as the previous question, this time you listen to
the chest as the patient says "eeee". This test is called _____________
Egophony
Again with the same situation, this time you listen to the chest as the patient
whispers "one, two, three". This test is called ____________ ____________
Whispered Pectoriloquy
When examining a female patient and you are near breast tissue,
ask her to guard, or cup her breast tissue away from the area being
examined. This is to avoid a perceived __________ __________
Boundary violation
What are the 4 steps involved with lung examination?
-Inspection
-Palpation
-Percussion
-Auscultation
When the patient has a marked depression of
the sternum, this is called pectus __________
Excavatum
When the patient has a forward protrusion of
the sternum, this is called pectus __________
Carinatum
When someone has pneumonia, they have mucous secretions
in the lungs. When they breathe in the secretions pull apart
creating a crackling sound called crackles or ________
Rales
When someone has an obstructive airway disease, such as asthma,
when the air is forced through the narrowed passageways, this
creates high pitched squeaking sounds called a __________
Wheeze
When someone has pleural effusion or accumulation of fluid in the
pleural space, paradoxically this can also cause a drying out of the lung
pleural membranes. When these membranes rub against each other it
creates a low pitched sound similar to two pieces of leather being rubbed
together. This sound is called a pleural ___________ __________
Friction Rub
An infection of the lung parenchyma is called ____________
Pneumonia
When the alveoli air sacs fill with bacteria, blood cells,
fluid, and cellular debris this is called ____________
Consolidation
When a person has pneumonia the fluid will conduct
the sound vibration better. As such, upon examination
they will have ____________ tactile fremitus
Increased
Upon percussion, the sound heard will be
_______ over fluid filled lung parenchyma
Dull
You may hear inspiratory rales when a person has pneumonia.
Also, since the fluid will conduct the sound vibration better, upon
examination they will have ____________ breath sounds
Increased
___________ is a chronic lung infection that worldwide
is the leading cause of death from infectious disease.
Upon examination, this person might have crackles in
the upper posterior chest, due to the Ghon lesions
TB
When air enters the pleural space due to a traumatic
injury, this accumulation of air is called ___________
Pneumothorax
________ is a hypersensitivity reaction usually triggered by
airborne allergens, such as dust, animal dander, or pollen
Asthma
COPD stands for chronic obstructive pulmonary disease.
What are the 3 conditions included in this category?
-Emphysema
-Chronic Bronchitis
-Asthma
___________ is COPD type A, also known as the 'pink puffer'
Emphysema
Chronic ___________ is COPD type B, also known as the 'blue bloater'
Bronchitis
A person with emphysema has damaged lung parenchyma,
usually from a lifetime of smoking. This increase of air density
will conduct vibration poorly as compared to normal lung tissue. As
such, upon examination they will have __________ tactile fremitus
Decreased
Upon percussion, the sound heard will
be ______________ with emphysema
Hyper-resonant
Since the diseased lung parenchyma conducts the sound vibration poorly, upon
auscultation a person with emphysema will have ____________ breath sounds
Decreased
_________ is an irreversible focal bronchial dilation caused
by a chronic infection, or associated with cystic fibrosis
bronchiectasis
______________ is a collapsed lung, usually the
result of bronchial obstruction by a mucuous plug
atelectasis
While less serious than a stroke or a heart attack, if a blood clot
lodges in a pulmonary artery, this is called _________ _________
Pulmonary embolism
Bronchogenic carcinoma in the superior sulcus of the lung is
called a ___________ tumor. Because of the proximity to
sympathetic nerves, it may manifest Horner's syndrome.
Pancoast
Costochondritis is inflammation of the cartilage between the
ribs and the sternum, usually the 2nd to 5th costosternal
connections. When there is localized swelling in addition to
the tenderness, the condition is called _________'s syndrome
Tietze
Shingles typically manifests as a band of vesicles located in a dermatomal
band between two ribs. The is called herpes ________
Zoster
__________ is when a person experiences pain from a normally
nonpainful stimulus, such as a shirt rubbing against the skin
Allodynia
THIS SET IS OFTEN IN FOLDERS WITH...
Ch. 1 Intro to Phys. Dx
28 terms
Ch. 2 Interview and Health History
21 terms
Ch. 3 General Survey and Vital Signs
21 terms
Ch 5 Head & Neck
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