Effect of PR interval on the intensity of S1
S1 is louder if PR interval is shorter
TERM
normal adult chest characteristics
thorax wider than deep, lateral diameter large than
anteroposterior diameter
TERM
emphysema (COPD)
slowly progressive disease in which the distal air
spaces enlarge and lungs become hyperinflated.
Findings: percussion is diffusely resonant, trachea
midline, breath sounds discreased or absent. no
adventitious sounds, may have crackles, wheezes
, if assoc with bronchitis, decreased tactile frem,
retraction in posterior chest possible, displaced
downward liver
TERM
Skin characteristics expected with chronic
insufficiency of arteries
thin, shiny, atrophic skin; loss of hair over the foot
and toes; nails thickened and ridged; Gangrene
may develop; absent to mild edema
TERM
Thrill and what it may indicate
, humming vibrations from turbulent blood flow felt
during palpation; if felt on carotid artery, may
indicate stenosis; if felt on chest wall could
indicate murmurs (aortic stenosis, patent ductus
arteriosus, vsd, and less commonly mitral valve
stenosis)
TERM
factors affecting intensity of tactile fremitus
decreased: soft voice, thick chest wall, obstructed
bronchus, COPD, pleural effusion, fibrosis (pleural
thickening), air (pneumo), infiltrating tumor
increased: Asymmetrical unilateral fremitus could
be unilateral pneumonia
TERM
thoracic kyphoscoliosis
, abnormal spinal curvatures and vertebral rotation
deform of the chest distortion of the underlying
lungs may make interpretation of the lungs
difficult
TERM
Determining intensity of murmurs
graded on a 6 pt scale and expressed as a fraction;
the numerator describes the intensity of the
murmur at the point of origin (where its loudest),
the denominator indicates the scale you are using;
intensity is influenced by the thickness of the
chest wall and the presence of intervening tissue
TERM
Describe lift and what it may indicate