Flashcards
Thorax and Lung

Cards in this deck (33)
- 1suprasternal notch and sternal angle

- 27th cervical vertebraeasily felt when patient's neck is flex down
- 3midsternal line and midclavicular line

- 4posterior, anterior, and midaxillary line

- 5vertebral line

- 6where do you auscultate right middle lobe of the lung?LATERALLY
- 7Inspect the posterior thoraxstand behind to view, pt have arms at side, observe scapulae and chest wall configuration
(lookout for scoliosis or kyphosis) - 8palpate the posterior thoraxtenderness and sensation, crepitus (crackling sensation), fremitus, assess chest expansion
- 9fremitusstart at the apex and go down using ball of hands; vibrations should be even on both sides
- 10percussion of the posterior thorax

- 11what are we looking for when we percuss?resonance is the percussion tone elicited over normal lung tissues
flat tones over scapula
hyper resonance is elicited in cases of trapped air - 12auscultation of posterior thorax

- 13adventitious soundsabnormal breathing sounds
- 14bronchophonypatient's voice sounds clearer and more normal through the stethoscope
- 15egophonypatient says "e" but it sounds like a nasally "a"
- 16whispered pectoriloquypatient is asked to whisper; can be heard clearly over areas of lung consolidation
- 17inspect the anterior thoraxinspect position of the sternum, watch for sternal contractions, slope of ribs should be less than 45 degrees, inspect intercostal spaces
- 18palpate the anterior thoraxtenderness, sensation, and surface masses, palpate for crepitus and fremitus, chest expansion
- 19percuss the anterior thorax

- 20what are we looking for when we percuss anteriorly?resonance, dullness over breast tissue, heart and liver, tympani over stomach, flatness over muscles and bones
- 21auscultate the anterior thorax

- 22vesicular breath soundsexpected finding, soft low pitched

- 23bronchovesicular breath soundsexpected finding, medium pitched

- 24bronchial breath soundsabnormal lung sound over peripheral and expected sound over trachea; loud, high pitched, harsh blowing

- 25rhonchisnoring like noises, gunk in lungs
- 26pleural friction rubcoarse grating sound
- 27crepitationRice Krispies sound
- 28fine/coarse cracklesfine: high pitched and short sounds
coarse: low pitched and long sounds
when lungs are wet - 29wheezingsounds like a whale, whistling sound
- 30stridorsounds like a dolphin suffocating
- 31barrel chestdiameter 1:1 (abnormal)
chest expansion uneven - 32pectus carinatumforward protrusion of sternum
- 33pectus excavatummarkedly sunken sternum
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- Nursing Flashcards on Thorax and Lung, created by Analiese Blasingame on 07/02/2025.
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- Analiese Blasingame
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