What age does bronchiolitis occur? most common at age 6 months- does not occur
after age 2
main symptom of bronchiolitis wheezing-lasts about 7 days
most common cause of bronchiolitis RSV
Treatment for bronchiolitis No specific treatment
Order of lung exam inspect, palpate, percuss, auscultate
Pectus Excavatum congenital posterior displacement of lower aspect
of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum at birth
-post CABG
mid childhood and 11-14 year old pubertal males
undergoing a growth spurt
-convex deformity
-97% have MVP
Barrel Chest associated with emphysema and lung
hyperinflation
-accompanying x-ray demonstrates increased ant-
post diameter as well as diaphragmatic flattening
Tactile fremitus palpable vibrations of the bronchiopulmonary tree
as the patient is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or
pneumothorax
-increased in consolidation and PNA
percussion: (thigh)
flatness Large Pleural effusion
, Percussion- dullness (liver)
Lobar PNA
Percussion: resonance (Lung)
simple chronic bronchitis
Percussion: hyperresonance None
-emphysema, pneumothorax
Percussion: tympany (gastric bubble)
-large pneumothorax
Auscultation: vesicular soft and low pitched; usually heard over most of
both lungs
Auscultation: bronchial louder and higher in pitch; usually heard over the
manubrium
Auscultation: bronchovesicular intermediate intensity and pitch; usually heard
over the 1st and 2nd interspaces
Auscultation: tracheal over the trachea and neck, very loud
Rhonchi low-pitched snore-like sounds, often characterized
by secretions w/in the large airways
-sometimes cleared with a cough
Wheezes continuous, high-pitched, musical, sounds that are
produced by air flowing through narrowed bronchi
-predominately expiratory
stridor loud, rough, continuous, high-pitched sound that is
pronounced during inspiration
-indicates proximal airway obstruction
after age 2
main symptom of bronchiolitis wheezing-lasts about 7 days
most common cause of bronchiolitis RSV
Treatment for bronchiolitis No specific treatment
Order of lung exam inspect, palpate, percuss, auscultate
Pectus Excavatum congenital posterior displacement of lower aspect
of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum at birth
-post CABG
mid childhood and 11-14 year old pubertal males
undergoing a growth spurt
-convex deformity
-97% have MVP
Barrel Chest associated with emphysema and lung
hyperinflation
-accompanying x-ray demonstrates increased ant-
post diameter as well as diaphragmatic flattening
Tactile fremitus palpable vibrations of the bronchiopulmonary tree
as the patient is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or
pneumothorax
-increased in consolidation and PNA
percussion: (thigh)
flatness Large Pleural effusion
, Percussion- dullness (liver)
Lobar PNA
Percussion: resonance (Lung)
simple chronic bronchitis
Percussion: hyperresonance None
-emphysema, pneumothorax
Percussion: tympany (gastric bubble)
-large pneumothorax
Auscultation: vesicular soft and low pitched; usually heard over most of
both lungs
Auscultation: bronchial louder and higher in pitch; usually heard over the
manubrium
Auscultation: bronchovesicular intermediate intensity and pitch; usually heard
over the 1st and 2nd interspaces
Auscultation: tracheal over the trachea and neck, very loud
Rhonchi low-pitched snore-like sounds, often characterized
by secretions w/in the large airways
-sometimes cleared with a cough
Wheezes continuous, high-pitched, musical, sounds that are
produced by air flowing through narrowed bronchi
-predominately expiratory
stridor loud, rough, continuous, high-pitched sound that is
pronounced during inspiration
-indicates proximal airway obstruction
