HXPX Exam 3 - Chest,Lungs
Latest Update
ROS list for Chest/Lung Exam - Answer Chest pain
Shortness of breath
Dyspnea
Wheezing (with or without sputum)
Cough
Blood streaked sputum (hemoptysis)
Tracheal Bifurcation - Answer T4/T5 just below manubriosternal junction
Pleural Effusion - Answer Fluid between Parietal and Visceral Pleura due to inner water
or infection
Manubriosternal junction - Answer where 2nd rib articulates with sternum
Vertebral prominens - Answer spinous process of C7
Inferior angle of scapula - Answer Rib 7 posteriorly
Midsternal & Midclavicular lines - Answer divide anterior chest
Vertebral & Scapular lines - Answer Divide posterior chest
Anterior, mid- and posterior axillary lines - Answer Divide lateral margins of chest
Lobes of Right Lung - Answer Upper
Middle
Lower
Lobes of Left Lung - Answer Upper
Lower
Lungs extend posteriorly - Answer T10-T12
Lungs extend anteriorly - Answer Rib 6 at midclavicular lines
Tachypnea - Answer Breathing rate > 20 per min
Bradypnea - Answer Breathing rate < 12 per min
, Respirations:HR Ratio - Answer 1:4
Vitals of Chest/Lung Inspection - Answer Respirations
Bradypnea/Tachypnea
Rhythm
Pattern
Respirations
Abnormalities of Anteriorposterior (AP) Diameter: - Answer Barrel Chest - increased AP
diameter (ex: COPD)
Pectus carinatum - pigeon chest
Pectus excavatum - funnel chest (indention of lower sternum)
Blue Bloater - Answer chronic bronchitis
Pink Puffer - Answer emphysema
Dyspnea - Answer difficulty breathing, short of breath
Stridor - Answer high obstruction, harsh, high-pitched sounds, accessory muscles used
(mostly on inspiration)
-could have something stuck; coupe; sounds like "whale talk"
Orthopnea - Answer dyspnea when lying down, grade by number of pillows required to
rest
Paroxysmal Nocturnal Dyspnea (PND) - Answer sudden dyspnea while asleep (awake
gasping)
Inspection - Degree of effort with breathing: - Answer Audible wheezing
Pursed lips: increased expiratory effort (breathing through straw)
Flaring of alae nasi - air hunger
Obvious use of accessory muscles: SCM, Scalenus
Dyspnea
Stridor
Orthopnea
PND
Tachypnea
Latest Update
ROS list for Chest/Lung Exam - Answer Chest pain
Shortness of breath
Dyspnea
Wheezing (with or without sputum)
Cough
Blood streaked sputum (hemoptysis)
Tracheal Bifurcation - Answer T4/T5 just below manubriosternal junction
Pleural Effusion - Answer Fluid between Parietal and Visceral Pleura due to inner water
or infection
Manubriosternal junction - Answer where 2nd rib articulates with sternum
Vertebral prominens - Answer spinous process of C7
Inferior angle of scapula - Answer Rib 7 posteriorly
Midsternal & Midclavicular lines - Answer divide anterior chest
Vertebral & Scapular lines - Answer Divide posterior chest
Anterior, mid- and posterior axillary lines - Answer Divide lateral margins of chest
Lobes of Right Lung - Answer Upper
Middle
Lower
Lobes of Left Lung - Answer Upper
Lower
Lungs extend posteriorly - Answer T10-T12
Lungs extend anteriorly - Answer Rib 6 at midclavicular lines
Tachypnea - Answer Breathing rate > 20 per min
Bradypnea - Answer Breathing rate < 12 per min
, Respirations:HR Ratio - Answer 1:4
Vitals of Chest/Lung Inspection - Answer Respirations
Bradypnea/Tachypnea
Rhythm
Pattern
Respirations
Abnormalities of Anteriorposterior (AP) Diameter: - Answer Barrel Chest - increased AP
diameter (ex: COPD)
Pectus carinatum - pigeon chest
Pectus excavatum - funnel chest (indention of lower sternum)
Blue Bloater - Answer chronic bronchitis
Pink Puffer - Answer emphysema
Dyspnea - Answer difficulty breathing, short of breath
Stridor - Answer high obstruction, harsh, high-pitched sounds, accessory muscles used
(mostly on inspiration)
-could have something stuck; coupe; sounds like "whale talk"
Orthopnea - Answer dyspnea when lying down, grade by number of pillows required to
rest
Paroxysmal Nocturnal Dyspnea (PND) - Answer sudden dyspnea while asleep (awake
gasping)
Inspection - Degree of effort with breathing: - Answer Audible wheezing
Pursed lips: increased expiratory effort (breathing through straw)
Flaring of alae nasi - air hunger
Obvious use of accessory muscles: SCM, Scalenus
Dyspnea
Stridor
Orthopnea
PND
Tachypnea
