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CMN 568 Exam 2- Physical Exam with complete solutions |Latest 2024/2025
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CMN 568 Exam 2- Physical Exam with complete solutions |Latest 2024/2025
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CMN 568 Exam 2- Physical Exam with_`- _`- _`- _`- _`- _`- _`-
complete solutions. _`- _`-
Extrapulmonary signs of intrinsic pulmonary disease _`- _`- _`- _`- _`- _`-_`- - Digital clubbing
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- Cyanosis
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- Increased CVP
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- BLE edema
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Digital clubbing
_`- _`-_`- - Lung abscess
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- Empyema
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- Bronchiectasis
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- CF
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- Idiopathic pulmonary fibrosis
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- AV malformations
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- Late presentation of concomitant lung cx
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How do you measure your patients PFTs to establish if they are normal or
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
not? - They are measured against predicted values derived from large
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studies of healthy subject
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- Vary with age, gender, height, weight, ethnicity
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Tachypnea _`-_`- _`- Increased resp rate and decreased TV _`- _`- _`- _`- _`-
Irregular rhythm _`- _`-_`- - Rapid, shallow breathing
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- Restrictive lung disease (precursor to resp failure)
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, Kussmaul resp - Rapid large volume breathing leads to intense
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stimulation of resp center _`- _`- _`- _`-
- R/T metabolic acidosis
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Physical examination_`- _`-_`- - Inspection
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- Palpation
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- Percussion
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- Auscultation
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Observe pattern of breathing
_`- _`- _`- _`-_`- - RR (12-14rr/min)
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- Rhythm (regular with a sigh every 90 breaths or so)
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- Depth of breathing / tidal volume (5ml/kg)
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- Relative time spent inspiration and expiration (ratio 2:3)
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Inspect for extrapulmonary signs of pulmonary disease
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find to perform more detailed exam
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Palpate _`-_`- - Trachea at suprasternal notch
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- Posterior chest wall (gauge fremitus / transmission through lungs of
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vibrations of spoken words) _`- _`- _`-
- Anterior chest wall (assess cardiac impulse)
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Percussion _`-_`- _`- Identifies dull areas or hyperresonant areas
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