Pulmonary Physical Exam

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