Pulmonary Physical Exam

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