Insp/Expir Intenstiy pitch
1.Tracheal
1. equal, very loud intensity high pitch
2. Bronchial
2. short, long loud relatively high
3. Bronchiovesicular
3. equal intermediate intermediate
4. Vesicular
4. long, short soft relatively low
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,A 21-year-old college c. Asthma
senior complains of
shortness of breath and a
non-productive, nocturnal
cough. She used to feel this
way only with extreme
exercise, but lately she has
felt this way continuously.
On ausculation of her chest,
there is decreased air
movement and wheezing
on expiration in all lobes.
Which disorder of the
thorax or lung is described?
Answers:
a. Chronic obstructive
pulmonary disease
b. Spontaneous
pneumothorax
c. Asthma
d. Pneumonia
, A 47 year-old receptionist c. Pneumonia
complains of fever,
shortness of breath and a
productive cough with
yellow sputum. She looks ill
and her temperature is 101.
On auscultation she has
decreased air movement,
and coarse crackles are
heard over the left lower
lobe. There is dullness on
percussion, increased
fremitus during palpation,
and egophony on
auscultation. Which disorder
of the thorax or lungs is
described here?
Answers:
a. Spontaneous
pneumothorax
b. Chronic obstructive
pulmonary disease
c. Pneumonia
d. Asthma
lateral displacement=HF, cardiomyopathy
L lat decubitus position, diffuse PMI=LF enlarged
Abnormalities of Apical
Increased amplitude: pressure overload, LV hypertrophy
impulse (PMI)
*increased amplitude: hyperthyroidism, aortic stenosis
*Hypokinetic: dilated cardiomyopathy
Abnormalities of thought compulsions, obsessions, phobias, anxieties, feelings of
content unreality, feelings of depersonalization, delusions
illusions: misinterpretation of real external stimuli
Abnormalities of through
hallucination: subjective sensory perceptions in absence
processes
of relevant external stimuli
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