![]() ![]() Palpation- may palpate for masses or crackling feeling (cepitus- subcutaneous air).ġ0 Inspection Lesions Chest excursion Pattern of breathingġ1 Palpation Tender areas Nodules Fremitus Chest excursionġ2 Tactile Fremitus: Normal lung transmits a palpable vibratory sensation to the chest wall. Observe intercostals spaces for retraction (obstruction) or bulging (emphysema). Note respiratory effort use of neck muscles or abdominal breathing. Inspect/ count respiratory rate (15-20/min) and note rhythm. Range: resonance (hollow) hyper resonance (booming) dullness (masses, fluidĨ Anterior Thorax. ![]() Place hands over lower thorax (10th rib) with thumbs adjacent to spine should separate 1 ½” – method of determining equal expansion of the lungsħ Percussion- adv. Note any retraction of the interspaces during inspiration- found in emphysema, tracheal or laryngeal obstruction. A barrel chest is associated with pulmonary emphysema or normal aging. The 2nd ICS is the space beneath the 2nd rib.Īnteroposterior diameter compared with transverse (NV 1:2)- AP diameter is < transverse. (The 2nd rib is the first one felt since the 1st rib is beneath the clavicle). Follow the sternum down and palpate the bony ridge (manubrium) move finger laterally to find the 2nd rib. To identify the 2 ICS: Palpate the clavicle and follow it to the sternum note the suprasternal notch. Landmarks pics don’t work pic from this link Terms link no pics angle of louis atrioventricular valveĢ Thorax Heart Lungs Inspect, palpate, percuss, auscultateĤ Anterior: Midsternal, midclavicular, anterior axillary Presentation on theme: "Physical Examination: Thorax"- Presentation transcript: ![]()
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