100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Bates Ch 15 Thorax & Lungs Verified Solutions £7.56
Add to cart
Quickly navigate to
Preview
  2.  
  3. Bates Ch 15 Thorax & Lungs Verified Solutions
  4.  
  5. Bates Ch 15 Thorax & Lungs Verified Solutions
  6.  
  7. Bates Ch 15 Thorax & Lungs Verified Solutions

Exam (elaborations)

Bates Ch 15 Thorax & Lungs Verified Solutions
 0 purchase

Bates Ch 15 Thorax & Lungs Verified Solutions A patient reports chest pain/discomfort and uses a clenched fist over their sternum to indicate this; what does this suggest is the underlying cause? Angina pectoris A patient reports chest pain/discomfort and uses a finger to point to a tender...

[Show more]

Preview 2 out of 12  pages

Document information

  • July 11, 2024
  • 12
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • bates ch 15 thorax lungs verified solutions

Written for

All documents for this subject (1)

Seller

avatar-seller
bestscores1

Content preview

Bates Ch 15 Thorax & Lungs Verified Solutions
A patient reports chest pain/discomfort and uses a clenched fist over their sternum to indicate this;
what does this suggest is the underlying cause?

Angina pectoris

A patient reports chest pain/discomfort and uses a finger to point to a tender spot on the chest wall;
what does this suggest is the underlying cause?

Musculoskeletal pain

Brainpower

Read More

A patient reports chest pain/discomfort and uses a hand moving from the neck to the epigastrium; what
does this suggest is the underlying cause?

Heartburn

Sources of chest pain w/ related causes:




What is the "triangle of safety"?

Anatomical region in the midaxillary line formed by the lateral border of the pectoralis major muscle
anteriorly, lateral border of the latissimus dorsi posteriorly, and nipple line (4th or 5th intercostal space)
inferiorly. This triangle represents a "safe position" for chest tube insertion.

Aspiration pneumonia is more common in which lung? Why?

More common in the right middle and lower (RML & RLL) lobes because the right main bronchus is more
vertical.

for this same reason, if an ETT is advanced too far during intubation, it will more likely enter the right
main-stem bronchus

visceral pleura

covers the outer surface of the lungs

lacks sensory nerves

parietal pleura

, Lines the pleural cavity along the inner rib cage and the upper surface of the diaphragm.

richly innervated by the intercostal and phrenic nerves

Pleural space

the area between the parietal and visceral pleurae; a potential space

A 13-year-old girl is brought by her mother to the clinic one day before the start of eighth grade because
of a 3-day history of episodes of shortness of breath. When she gets the shortness of breath, she also
notices tingling around her lips. She has no fever, cough, sputum production, or chest pain. She has no
history of serious illness and takes no medications. Vital signs are within normal limits. Cardiac, lung, and
extremity examinations show no abnormalities. Which of the following is the most likely diagnosis?

A. Anxiety
B. Asthma
C. Pneumonia
D. Aspiration of a foreign body
E. Left-sided heart failure

A. Anxiety

Tingling around the lips can be a symptom of anxiety. The start of a new school year can be anxiety
provoking for children. The normal lung examination is consistent with anxiety. Aspiration of a foreign
body is incorrect. She does not have a cough. Putting a foreign body in her mouth and aspirating it
would be unusual at her age. Asthma is incorrect. Asthma is a possible cause of shortness of breath but
is less likely in this girl because of the tingling around her lips and lack of cough or chest tightness, in
addition to the lack of wheezing on examination. Left-sided heart failure is incorrect. Left-sided heart
failure is uncommon in children. She also has no other symptoms of heart failure, such as orthopnea or
paroxysmal nocturnal dyspnea. She has no history of heart disease, high blood pressure, or other
conditions that could put at an increased risk of heart disease. She also has no crackles on lung
auscultation, which can be heard in left-sided heart failure. Pneumonia is incorrect. Pneumonia is less
likely than anxiety because of the lack of other characteristic symptoms of pneumonia (fever, cough,
sputum production, and chest pain) and the normal lung examination.

Reference: Bickley, Lynn S.Bates’Guide to Physical Examination and History Taking,13th ed.,
Philadelphia: Wolters Kluwer, Chapter 15: The Thorax and Lungs.

A 14-year-old high school student comes to the clinic for a 3-month history of periodic dyspnea when
playing basketball. It resolves shortly after resting. He has not had fever, chills, cough, sputum
production, or chest pain. He has no history of serious illness. Based on the boy's history, asthma is
suspected. Which of the following sounds heard on expiration during lung auscultation would be most
suggestive of asthma?

A. Stridor
B. Wheezes
C. Mediastinal crunch

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller bestscores1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for £7.56. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

66902 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy revision notes and other study material for 15 years now

Start selling
£7.56
  • (0)
Add to cart
Added