Answers | Verified | Latest 2024 Version
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:
flatness - ✔✔(thigh)
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