Pulmonary Physical Exam

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