Professional Documents
Culture Documents
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
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