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N252 Exam #2
lungs, heart, breast
74
Nursing
Undergraduate 2
11/05/2009

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Term
Tachypnea
Definition
rapid, shallow breathing, pain
Term
Hypernea
Definition
rapid, deep, hyperventilation, anxiety, metabolic acidosis, hypoglycemia
Term
Bradypnea
Definition
very slow but regular rate, drug overdose, diabetic, coma, head injury, <10 breaths per minute
Term
Cheyne-Stokes
Definition
increasing/decreasing rates, includes periods of apnea, normal in infants and elderly during sleep
Term
Infant Thorax
Definition
equal diameter till 6 years, 1:2 ratio
Term
Apgar
Definition
infant rating system at 1 and 5 minute, 7-10 indicates good condition, routine care
Term
kyphosis
Definition
outward curvature of the thoracic spine
Term
Tactile Fremitis
Definition
increased w. consolidation, decreased with air trapping
Term
hyperresonance
Definition
over a lung w. increased amounts of air, COPD
Term
Tympany
Definition
hallow organ
Term
Bronchial Breath Sounds
Definition
loud, harsh, expiratory > inspiratory
Term
Bronchial Breath Sounds
Definition
loud, harsh, expiratory > inspiratory
Term
Bronchovesicular
Definition
not as loud, expiration = inspiration. normal over main stem, middle of sternum and straight through to back.
Term
Vesicular
Definition
soft, breezy, inspiration > expiration, comprises most of lung fields
Term
Normal Infant Respiratory Rate
Definition
40-60 breaths per minute
Term
Fine Crackles
Definition
fine, small beads of fluid at alveoli (bottom of lung) pneumonia, heart failure, CHF, inflammation, coughing won't change
Term
Medium Crackles
Definition
fluid or mucus in larger airways, further down, cough will change
Term
Coarse Crackles
Definition
fluid or mucus in biggest airways, lung disease, bronchitis, smoker, hear in spots & location. cough will change
Term
Wheezing
Definition
asthma, allergic reaction, cystic fibrosis, narrowed airway, spasm, mucus, inflamed
Term
Crepidis
Definition
air trapped in subcutaneous tissue, crunches under fingertips, little or big, reabsorbs, goes away
Term
Egophony
Definition
say E, normal hear E, abnormal changes to A or Ah
Term
Bronchophony
Definition
say 1,2,3, normal soft or muffly, abnormal loud and distant
Term
Pectoriliqy
Definition
whisper 1,2,3, normal dont hear anywhere, abnormal louder and distant
Term
Atelactatic Crackles
Definition
not pathologic, short, popping, crackling sounds that sound like fine crackles but do not last beyond a few short breaths
Term
Pectus Excavatum
Definition
sunken sternum and adjacent cartilages
Term
Pectus Carinatum
Definition
forward protrusion of sternum, rubs sloping back at either side
Term
Chronic Obstructive Breathing
Definition
normal inspiration and prolonged expiration to overcome resistance, chronic lung disease w. increased heart rate may lead to air trapping.
Term
Increased Tactile Fremitus
Definition
increased density of lung tissues, pneumonia
Term
Decreased Tactile Fremitus
Definition
obstructs transmission of vibrations (pleural effusion, thickening, pneumothorax, emphysema)
Term
Rhonchal Fremitus
Definition
vibration felt when inhaled air passes through thick secretions in larger bronchi
Term
Pleural Friction Fremitus
Definition
inflammation of parietal or visceral pleura causes a decrease in normal fluid, grating sound when breathing, leather
Term
Stridor
Definition
high pitched, monophonic, inspiratory crowing sound, swollen inflamed tissues or lodged foreign body, croup
Term
Pneumonia
Definition
rapid rr, pain, tenderness in thorax, resonance where inflating, dull where fluid, crackles, wheezing, vocal fremitis
Term
Angle of Louis
Definition
manubriosternal angle, articulation of the manubrium and body of the sternum, continuous with 2nd rib
Term
Emphysema
Definition
chronic obstructive disease with enlargement of alveoli distal to terminal brochioles
Term
Orthopnea
Definition
ability to breathe easy only in an upright position
Term
Rhonchi
Definition
low pitched, musical, snoring, adventitious lung sound caused by airflow obstruction from secretions
Term
Mediastinum
Definition
between lungs, middle third of thoracic chest, extends 2nd-5th intercostal spaces, right sternal border to L-MCL
Term
Apex
Definition
beats against chest wall, produces PMI (apical pulse) and 5th ICS
Term
AV Valves
Definition
mitral (left) tricuspid (right) closure is S1
Term
Semilunar valves
Definition
aortic and pulmonic, closure is S2
Term
Diastole
Definition
ventricular filling, accounts for 2/3 of the cardiac cycle
Term
Systole
Definition
contraction, 1/3 of cycle
Term
Heaves
Definition
areas of chest wall visibly pulsating
Term
Thrill
Definition
palpable vibration
Term
Aortic Site
Definition
R, 2nd ICS, S2>S1
Term
Pulmonic
Definition
L SB, 2nd ICS, S2>S1
Term
Erbs Point
Definition
LSB, 3rd ICS, S1=S2
Term
Tricuspid
Definition
LSB, 5th ICS, S1>S2
Term
Mitral
Definition
LMCL, 5th ICS, S1>S2, PMI
Term
Split S2
Definition
Aortic then pulmonic closure,normally inaudible, deep inspiration, intrathoracic pressure drops, increased venous return to R and delays pulmonic closure
Term
S3
Definition
vibration of ventricles when filling, very early diastole, low pitched, listen w. bell
Term
S4
Definition
resistant filling, occurs just before s1, low pitched w. bell
Term
Infant Heart Differences
Definition
apex is higher, located at 4th ICS, reaches adult position at 7. Delayed closure of ductus arteisosus is most common heart defect.
Term
Bruit
Definition
turbulence in artery
Term
Cor Pulmonale
Definition
right ventricular hypertrophy and heart failure due to pulmonary hypertension
Term
Palpitation
Definition
uncomfortable awareness of rapid or irregular heart rate
Term
Mammary glands composed of...
Definition
glandular, fibrous, subcuteaneous, retromamarry fat
Term
3 ways to palpate breast
Definition
concentric circles, spokes of a wheel, or vertical strip
Term
if mass found, describe by...
Definition
location, size, shape, consistency, tenderness, mobility, delineation, retraction
Term
Mammogram
Definition
baseline 35-39, 1-2 yrs 40-49, every year after 49
Term
Gynecomastia
Definition
unilateral and temporary breast enlargement
Term
Galactorrhea
Definition
clear nipple discharge from medications
Term
Peau d'orange
Definition
edema in areola, orange peel look
Term
Menstrual History
Definition
menarche- onset, cycle-duration, dysmenorrhea-pain, PMS-symptoms
Term
Chancre
Definition
red, round, superficial ulcer w. yellowish serious discharge that is a sign of syphillis
Term
Cryptochidism
Definition
undescended testis
Term
Torsion
Definition
sudden twisting of spermatic cord, surgical emergency
Term
Amenorrhea
Definition
absence of menstruation
Term
Dysmenorrhea
Definition
abdominal cramping and pain ass. w. period
Term
Allen Test
Definition
determining the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of other artery
Term
Homan's Sign
Definition
calf pain that occurs when the foot is sharply dorsiflexed (pushed up, towards knee); may occur with DVT, phlebitis, Achilles tendinitis or muscle injury
Term
Pulsus bigeminus
Definition
irregular rhythm, every other beat is premature, weakened amplitude
Term
Pulsus paradoxus
Definition
beats have weaker amplitude with respiratory inspiration, stronger with expiration
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