Solved Solutions 2025.
located symmetrically in each hemithorax, lower tip is at 7/8th rib - Answer landmark of
scapula
at the base of the neck 2 bumps at c7 and lower is t1 - Answer landmark cervical prominence
(bony spur)
hands on posterolateral chest wall thumbs at T9 OR T10 slide hands medially to pinch up small
fold of skin ask patient to take deep breath- no lag should be found once thumbs separate
symmetrically - Answer thoracic expansion
Unequal chest expansion - Answer marked atelectasis or pneumonia; fractured ribs;
pneumothorax
Palpable vibration - Answer vocal (tactile fremitus)
Examination of external chest 4 steps - Answer palpate trachea for position
palpate anterior and posterior chest wall
palpate for thoracic expansion
palpate for vocal fremitus
90 degrees or less meet at ziphoid process - Answer costal angle
White or clear sputum dx - Answer cold, bronchitis, viral infections
yellow or green sputum dx - Answer bacterial infections
rust colored - Answer TB, pneumococcal pneumonia
pink frothy color - Answer pulmonary edema, some sympathomimetic meds. have pink tinged
mucus