Pulmonary Physical Exam

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Across
  1. 1. Say “e” however heard as “a” due to fluid/ solid
  2. 4. Increased vibration palpated on chest wall from secretions
  3. 7. coughing up quantities of blood
  4. 11. Louder transmission of voice sound through fluid/ solid
  5. 13. Active component of respiration, diaphragm contracts and descends
  6. 14. The ICS is named for the rib ___
  7. 18. Percussion note heard over a consolidation/ area of fluid
  8. 20. Sensation of vibration which increases in dx like pneumonia
  9. 21. Intercostal space for needle decompression
  10. 25. With percussion it measures out about 3.5-5 cm on a deep inhalation
  11. 26. Pleura, Lines thoracic cavity, has pain receptors
  12. 28. Percussion note which is normal
  13. 29. the relaxation of the diaphragm and exhalation due to elastin
  14. 31. Breathing pattern described as irregular with periods of apnea alternating with regular and deep breathing
  15. 32. Fissure that is only present in the right lung
  16. 34. Continuous, musical sounds due to airway obstruction
  17. 36. Chest deformity from chronic hyperinflation
  18. 37. Respiratory ____ is 2-5 inches (5-12 cm) and symmetrical when taking a deep breath
  19. 38. Pleura, Lines the outer surface of lungs, no pain receptors
  20. 39. the functional tissue of an organ as distinguished from the connective and supporting tissue
  21. 42. aka sternal angle, 5cm below the suprasternal notch
  22. 44. Breathing pattern described as apnea with deep breathing “ramp up”
Down
  1. 2. shortness of breath while laying flat
  2. 3. Position you find a patient in respiratory distress, “leaning forward on elbows”
  3. 5. formed by the points at which the chest wall and diaphragm meet
  4. 6. Whispered, but heard loudly due to fluid or solid
  5. 8. shortness of breath
  6. 9. small airways where gas exchange starts
  7. 10. Chest deformity acquired from a trauma
  8. 12. “lung roots” Complicated anatomical structures, Includes: pulmonary vessels and the major bronchi
  9. 15. cessation of breathing
  10. 16. Tracheal bifurcation to R and L mainstem
  11. 17. Breathing pattern associated with diabetic ketoacidosis
  12. 19. Term to describe fast breathing
  13. 22. sign of respiratory distress, especially in pediatric where intercostal muscles are sucked in between the ribs on breathing
  14. 23. Finger on the chest wall held tight and is struck with finger from opposite hand
  15. 24. Intercostal space for chest tube insertion
  16. 27. Breath sound that is soft and low pitched. They are heard throughout inspiration
  17. 30. Fissure that divides the lungs essentially in half
  18. 33. Chest deformity in which sternum is displaced anteriorly with adjacent costal cartilage depression
  19. 35. Crackling “rice krispie” sound when pressing on skin caused by ptx
  20. 40. Breath sound which is discontinuous, intermittent, non-musical, can be fine or coarse
  21. 41. inflammation of the pleurae, which impairs their lubricating function and causes pain when breathing
  22. 43. Chest depression in the lower portion of the sternum which may compress the heart and great vessels may cause murmurs