Chest Auscultation PDF
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This document provides information on chest auscultation, a technique used in medical diagnosis for assessing breath sounds, and other associated sounds. It covers different sounds, techniques, and common conditions.
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Chest Auscultation FOUR COMPONENTS OF A RESPIRATORY ASSESSMENT ⚪ INSPECTION ⚪ PALPATION ⚪ PERCUSSION ⚪ AUSCULTATION Anterior Chest Landmarks. ACCORDING TO UNDERLYING LUNGS AND LOBES ⚪ RIGHT LUNG ⚪ LEFT LUNG ⚪ UPPER ⚪ UPPER ⚪ MIDDLE ⚪ LOWER ⚪...
Chest Auscultation FOUR COMPONENTS OF A RESPIRATORY ASSESSMENT ⚪ INSPECTION ⚪ PALPATION ⚪ PERCUSSION ⚪ AUSCULTATION Anterior Chest Landmarks. ACCORDING TO UNDERLYING LUNGS AND LOBES ⚪ RIGHT LUNG ⚪ LEFT LUNG ⚪ UPPER ⚪ UPPER ⚪ MIDDLE ⚪ LOWER ⚪ LOWER INSPECTION ⚪ Shape ⚪ Scars ⚪ Prominent veins ⚪ Resp rate and rhythm ⚪ Chest wall movement ⚪ Intercostal recession ⚪ Added sounds ⚪ Cyanosis ⚪ Sputum PALPATION ⚪ Tenderness ⚪ Position of apex beat ⚪ Chest wall expansion Apex beat Chest Wall Expansion TRACHEAL POSITION ⚪ Central? ⚪ Above the sternal notch? ⚪ ?shift ?direction Tracheal Deviation ⚪ Towards ⚪ Away Atelectasis Pneumothorax Pleural fibrosis Pleural effusion Pneumonectomy Tumors Lung agenesis/aplasia Trachea deviated to Right Left lung border PERCUSSION ⚪ compare both sides ⚪ start over the clavicles move down anterior chest, ensure to percuss over lateral chest Percussion Sounds Sound Description Significance Resonant Long, loud, low Normal Lung sounds pitched, hollow Dullness Medium in intensity areas of increased and pitch, moderate density/decreased air length (consolidation, collapse, fibrosis, abscess, neoplasm) Stony dull Thudlike unique for pleural effusion Hyper resonant Very loud, low areas of decreased pitched density-increased air (pneumothorax) TACTILE FREMITUS ⚪ VOCAL FREMITUS – say 99 ⚪ INCREASED FREMITUS ⚪ DECREASED FREMITUS Auscultation ⚪ BREATH SOUNDS Normal Absent Reduced Bronchial Added sounds ⚪ Wheeze ⚪ Crackles ⚪ Rub ⚪ Stridor Vocal resonance Bronchophony Whispering pectoriloquy Egophony Common Conditions Percussion Breath Added Vocal Sounds Sounds Resonance Consolidation dull Bronchial Crackles Increased breathing (course) Pleural dull BS Rub? Decreased Effusion Pneumothorax Hyperresonant BS Fibrosis Normal Normal Crackles (fine) Pulmonary Normal Normal Crackles Oedema (fine)
