Assessment of Thorax and Lungs

Created by

Max

Cards (23)

Cervical Curve - Concave (C)
Thoracic Curve - Convex (ↄ)
Lumbar Curve - Concave (C)
Sacral Curve - Convex (ↄ)
Pigeon Chest - sternum protrudes outward
Tactile Fremitus - refers to vibratory tremors that can be felt through the chest by palpation
Decreased fremitus - in areas where fremitus is normally expected indicates obstruction, pneumothorax, or emphysema.
Increased fremitus - may indicate compression or consolidation of lung tissue, as occurs in pneumonia.
Resonance - drum like
Hyper-resonance = too much air/emphysema
Flatness / Dull - fluid or solid
Vesicular - lung field / soft and low
Bronchial - trachea/bronchi and hollow
Bronchovesicular - mixed / side of sternum / 1st and 2nd intercoastal space / between scapulae
BRONCHIAL - high pitched / INSPIRATION slightly shorter than expiration (IE = 1:3 OR 1<E) / hollow and tubular
BRONCHOVESICULAR - inspiration and expiration are EQUAL (IE=1:1 OR I=E) / anterior = 1st and 2nd ics / posterior = between scapulae
VESICULAR - most commonly heard sound / heard through peripheral lung fields / inspiration is greater than expiration (IE=3:1 OR I>E)
Continuous Adventitious Breath Sounds
Polyphonic (Sibilant) Wheeze/Rhonchi - heard more on expiration with many sounds
Continuous Adventitious Breath Sounds 
Monophonic (Sonorous) Wheeze - mainly heard on expiration, low-pitched whistle, one sound quality
Continuous Adventitious Breath Sounds 
Stridor - High-pitched whistling/grasping with harsh quality airway obstruction (e.g. croup) partial obstruction of larynx
Discontinuous Adventitious Breath Sounds
Course Crackles /Rales - heard more on inspiration, wet bubbling low-pitched sound (fluid in the lungs)
Discontinuous Adventitious Breath Sounds
Fine Crackles - mainly heard on inspiration, high-pitched crackling sound, DOES NOT CLEAR WITH COUGH
Discontinuous Adventitious Breath Sounds
Pleural Friction Rub - heard both on inspiration & expiration, harsh grating / creaking sound, PLEURA are RUBBING