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Cards In This Set
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What should be inspected when gathering the objective data of the Thoracic Cage of the Posterior Chest?
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The shape and configuation of chest wall, position person takes to breath, skin color and condition
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The anteroposterior diameter should be less than _________ __________, ratio should be 1: __ or 5:___
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Transverse diameter, 2, 7
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If the anteroposterior = transverse diameter
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Barrel Chest
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What should be checked when palpating the posterior chest?
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Symmetric chest expansion, tactile fremitus, and the entire chest wall.
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How do you confirm symmetric chest expansion?
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By placing your warmed hands on the posterolateral chest wall with thumbs at the level of T9 or T10, slide your hands to pinch up a small fold of skin and ask person to take deep breath. your hands should move apart symettrically.
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Fremitus is
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A palpable vibration
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How do you assess for Tactile Fremitus?
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Use the palmar base of the fingers or ulnar edge of one hand and touch the person's chest while he or she repeats the words "ninety-nine" or "blue moon"
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What are some factors that affect the normal intensity of tactile fremitus?
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Location of bronchi to chest wall, thickness of chest wall, pitch and intensity ( loud low= more fremitus , soft, high = less fremitus)
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What is crepitus?
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Coarse crackling sensation palpable over the skin surface., air escapes from the lung and enters the subcutaneous tissue, as with a surgery or injury.
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When percussing the posterior chest what do you examine?
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Lung fields and predominant notes, resonance, diaphragmatic excursion,
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What does resonance sound like in healthy lung tissue in the adult?
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Low pitched, clear, hollow sound.
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What is hyperresonance?
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Lower pitched booming sound found when too much air is present.
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What does a dull note signify?
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Abnormal density in the lungs as w/ pneumonia, pleural effusion, atelectasis or tumor.
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What are some extraneous noises that may be confused w/ lung pahtology?
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Examiner's breathing on steth, steth tubing bumping together, patient shivering, hairy chest, rustiling of paper gown.
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What are the three types of normal breath sounds in the adult and older child?
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Bronchial, bronchovesicular, and vesicular
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