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  • Respiratory

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    Kevin Nelson
    81 views13 pages
    The document provides an overview of techniques for examining the respiratory system. It describes inspecting the chest shape and breathing ease. It discusses palpating the chest for excursion and tactile fremitus. It explains using percussion to detect air, fluid or solid and normal/abnormal findings. It outlines auscultating the lungs and describes normal breath sounds and adventitious sounds like crackles, rhonchi and wheezes. It also notes examining voice sounds like bronchophony.

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    Respiratory slides

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    The document provides an overview of techniques for examining the respiratory system. It describes inspecting the chest shape and breathing ease. It discusses palpating the chest for excursion and tactile fremitus. It explains using percussion to detect air, fluid or solid and normal/abnormal findings. It outlines auscultating the lungs and describes normal breath sounds and adventitious sounds like crackles, rhonchi and wheezes. It also notes examining voice sounds like bronchophony.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    81 views13 pages

    Respiratory

    Uploaded by

    Kevin Nelson
    The document provides an overview of techniques for examining the respiratory system. It describes inspecting the chest shape and breathing ease. It discusses palpating the chest for excursion and tactile fremitus. It explains using percussion to detect air, fluid or solid and normal/abnormal findings. It outlines auscultating the lungs and describes normal breath sounds and adventitious sounds like crackles, rhonchi and wheezes. It also notes examining voice sounds like bronchophony.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 13

    RESPIRATORY SYSTEM

    Lung Structures

    Inspection
    A/P diameter - 2:1
    Barrel chest = 1:1

    Ease of breathing
    Use of accessory muscles Intercostal retractions Nasal flaring

    Palpation
    Chest excursion: place hands at T9 or T10

    Palpation
    Tactile Fremitus
    Palpable vibrations 99, 1-1-1, blue moon

    Percussion
    Detection of air, fluid or solid How to assess Normal findings
    Resonance over air Dullness over bone

    Abnormal findings
    Flatness Hyperresonance

    Auscultation

    Normal Breath Sounds


    Bronchial (tracheal) loud over trachea and larynx Bronchovesicular - moderate; over major bronchi @ 1st and 2nd ICS, posterior scapular Vesicular - soft; over peripheral fields

    Abnormal Breath Sounds


    Decreased Sounds
    Obstruction by secretions/mucous/foreign body Loss of Elasticity and decreased force of inspired air

    Absent breath sounds no air moving Increased breath sounds -

    Adventitious Sounds
    Crackles (rales) dependent lobes Rhonchi trachea & bronchi Wheezes throughout lung fields Pleural friction rub anterior lateral fields

    Voice Sounds
    Bronchophony amplified sound Whispered pectoriloquy amplified sound Egophony ee sounds like ay

    The End

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