H&P Thoracic Exam
Lungs
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signs/symptoms
Landmarks
2nd intercostal space
pneumothorax needle insertion
4th intercostal space
chest tube
Beware VAN on inferior side of ribs
Cough
acute
chronic
3 weeks
8+ weeks
T4
ET tube
tactile fremitus
percussion
adventitious sounds
vibrations
feel at ausculatation locations repeat 99, cross hands so you don't cup breasts
+
-
pleural effusion
pulmonary edema
lobar pneumonia
pneumothorax
overexpansion
FAT
stuff out
purulent-yellow or green
Rales/crackles
rhonci
low pitch
brief
wheezes
COPD
asthma
bronchitis
pneumonia fibrosis
bronchitis bronchiectasis
transmitted sounds
"ee" shouldn't be "aa"
ninety nine not discernable
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