Pulmonary Physical Exam

12345678910111213141516171819202122232425262728293031323334353637383940414243
Across
  1. 3. Breath sound which is discontinuous, intermittent, non-musical, can be fine or coarse
  2. 4. cessation of breathing
  3. 8. Pleura, Lines thoracic cavity, has pain receptors
  4. 10. Respiratory ____ is 2-5 inches (5-12 cm) and symmetrical when taking a deep breath
  5. 15. Term to describe fast breathing
  6. 16. “lung roots” Complicated anatomical structures, Includes: pulmonary vessels and the major bronchi
  7. 17. the relaxation of the diaphragm and exhalation due to elastin
  8. 18. Say “e” however heard as “a” due to fluid/ solid
  9. 20. Percussion note heard over a consolidation/ area of fluid
  10. 21. Position you find a patient in respiratory distress, “leaning forward on elbows”
  11. 22. The ICS is named for the rib ___
  12. 24. Intercostal space for chest tube insertion
  13. 28. Fissure that divides the lungs essentially in half
  14. 32. Pleura, Lines the outer surface of lungs, no pain receptors
  15. 34. Chest depression in the lower portion of the sternum which may compress the heart and great vessels may cause murmurs
  16. 35. formed by the points at which the chest wall and diaphragm meet
  17. 38. Fissure that is only present in the right lung
  18. 39. Intercostal space for needle decompression
  19. 41. Chest deformity in which sternum is displaced anteriorly with adjacent costal cartilage depression
  20. 42. coughing up quantities of blood
  21. 43. Breathing pattern associated with diabetic ketoacidosis
Down
  1. 1. Breathing pattern described as apnea with deep breathing “ramp up”
  2. 2. shortness of breath
  3. 5. inflammation of the pleurae, which impairs their lubricating function and causes pain when breathing
  4. 6. Louder transmission of voice sound through fluid/ solid
  5. 7. the functional tissue of an organ as distinguished from the connective and supporting tissue
  6. 9. Breathing pattern described as irregular with periods of apnea alternating with regular and deep breathing
  7. 11. Breath sound that is soft and low pitched. They are heard throughout inspiration
  8. 12. aka sternal angle, 5cm below the suprasternal notch
  9. 13. Chest deformity from chronic hyperinflation
  10. 14. Continuous, musical sounds due to airway obstruction
  11. 19. small airways where gas exchange starts
  12. 21. Increased vibration palpated on chest wall from secretions
  13. 23. shortness of breath while laying flat
  14. 25. Chest deformity acquired from a trauma
  15. 26. Finger on the chest wall held tight and is struck with finger from opposite hand
  16. 27. Tracheal bifurcation to R and L mainstem
  17. 29. Active component of respiration, diaphragm contracts and descends
  18. 30. Whispered, but heard loudly due to fluid or solid
  19. 31. sign of respiratory distress, especially in pediatric where intercostal muscles are sucked in between the ribs on breathing
  20. 33. Sensation of vibration which increases in dx like pneumonia
  21. 36. With percussion it measures out about 3.5-5 cm on a deep inhalation
  22. 37. Percussion note which is normal
  23. 40. Crackling “rice krispie” sound when pressing on skin caused by ptx