vesicular sounds
Give this one a try later!
low pitched, low intensity sounds heard over healthy lung tissue
ow-pitched, soft sounds heard over peripheral lung fields
"ocean breeze"
The prototypical normal lung sound marked by softer and lower-pitched
sounds than bronchial. Contrary to bronchial sounds, inspiration lasts
longer than expiration. Expiration is very quiet.
Name a pathological process that an abnormal finding of egophony would suggest
Give this one a try later!
, If egophony is present, the provider should consider pleural effusion as a
potential diagnosis. In the case of pleural effusion, fluid accumulates in the
pleural space which compresses the lung parenchyma, thus making it more
solid than normal. Due to this change, there is an alteration in the lung
acoustics that preferentially transmits higher sound frequencies and gives
rise to an egophony which is characteristically heard at the upper border of
the effusion
questions of cough
Give this one a try later!
sputum production/characterisitics (hemoptysis)
severity
suggestive of asthma or COPD
suggestive of lower resp infection
suggestive of parenchymal lung disease (fibrosis)
suggestion of allergies
associated symptoms telling (runny nose, fever, pain, headache, when
cough started)
Grand mal seizure
Give this one a try later!
type of severe seizure with tonic-clonic convulsion
generalized motor convulsion, pt lose consciousness and fall down rigidly.
there is often change in mood, involuntary twitching, giddiness, confusion,
or epigastric discomfort before seizure begins
pneumothorax
,Give this one a try later!
air or gas in the pleural cavity
Cluster headache
Give this one a try later!
are related to oculosympathetic disturbances. Patients typically affected
are middle-aged males with complaints of recurring pain around the eye
lasting up to one hour. Patient can be awakened from sleep on successive
nights for 2-4 weeks. There is ipsilateral miosis, ptosis, conjunctival edema,
tearing (lacrimation) and nasal stuffiness with the headaches and alcohol is
believed to be the precipitating factor. Cluster headache are 6 X more
common in men
clinical perals - emphysema
Give this one a try later!
trapped air, tactile fremitus decreased/absent, movement of thumbs would
be assymetric, percussion hyperresonant, breath sounds vesicular,
wheezing
How to assess CN 8
Give this one a try later!
, Acoustic
cover one ear, whisper word in opposite - repeat what they heard, switch
ears
Also intact if they follow directions
can also do finger rub test, rinne test, weber test
emphysema
Give this one a try later!
condition in which the lungs lose elasticity and alveoli enlarge in a way that
disrupts function
Secondary headaches
Give this one a try later!
occur due to an underlying cause and can be benign or serious. Common
causes of secondary headaches include
Viral syndrome
Medication-induced headache (eg, caffeine, alcohol, analgesics,
monosodium glutamate, oral contraceptive pills)
Temporomandibular joint (TMJ) dysfunction
Sinusitis
Cervicogenic headache
throbbing headache
Give this one a try later!
Give this one a try later!
low pitched, low intensity sounds heard over healthy lung tissue
ow-pitched, soft sounds heard over peripheral lung fields
"ocean breeze"
The prototypical normal lung sound marked by softer and lower-pitched
sounds than bronchial. Contrary to bronchial sounds, inspiration lasts
longer than expiration. Expiration is very quiet.
Name a pathological process that an abnormal finding of egophony would suggest
Give this one a try later!
, If egophony is present, the provider should consider pleural effusion as a
potential diagnosis. In the case of pleural effusion, fluid accumulates in the
pleural space which compresses the lung parenchyma, thus making it more
solid than normal. Due to this change, there is an alteration in the lung
acoustics that preferentially transmits higher sound frequencies and gives
rise to an egophony which is characteristically heard at the upper border of
the effusion
questions of cough
Give this one a try later!
sputum production/characterisitics (hemoptysis)
severity
suggestive of asthma or COPD
suggestive of lower resp infection
suggestive of parenchymal lung disease (fibrosis)
suggestion of allergies
associated symptoms telling (runny nose, fever, pain, headache, when
cough started)
Grand mal seizure
Give this one a try later!
type of severe seizure with tonic-clonic convulsion
generalized motor convulsion, pt lose consciousness and fall down rigidly.
there is often change in mood, involuntary twitching, giddiness, confusion,
or epigastric discomfort before seizure begins
pneumothorax
,Give this one a try later!
air or gas in the pleural cavity
Cluster headache
Give this one a try later!
are related to oculosympathetic disturbances. Patients typically affected
are middle-aged males with complaints of recurring pain around the eye
lasting up to one hour. Patient can be awakened from sleep on successive
nights for 2-4 weeks. There is ipsilateral miosis, ptosis, conjunctival edema,
tearing (lacrimation) and nasal stuffiness with the headaches and alcohol is
believed to be the precipitating factor. Cluster headache are 6 X more
common in men
clinical perals - emphysema
Give this one a try later!
trapped air, tactile fremitus decreased/absent, movement of thumbs would
be assymetric, percussion hyperresonant, breath sounds vesicular,
wheezing
How to assess CN 8
Give this one a try later!
, Acoustic
cover one ear, whisper word in opposite - repeat what they heard, switch
ears
Also intact if they follow directions
can also do finger rub test, rinne test, weber test
emphysema
Give this one a try later!
condition in which the lungs lose elasticity and alveoli enlarge in a way that
disrupts function
Secondary headaches
Give this one a try later!
occur due to an underlying cause and can be benign or serious. Common
causes of secondary headaches include
Viral syndrome
Medication-induced headache (eg, caffeine, alcohol, analgesics,
monosodium glutamate, oral contraceptive pills)
Temporomandibular joint (TMJ) dysfunction
Sinusitis
Cervicogenic headache
throbbing headache
Give this one a try later!
