Summary: Respiratory Health Assessment
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1 Respiratory health assessment
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What is the intensity and pitch of resonance?
- Intensity: Loud
- Pitch: Low
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What is an example of origin for hyper-resonance?
- Example: Lung with emphysema
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What do breath sounds normally reveal?
- Presence of consolidation or fibrosis
- Bronchial breath sounds
- Pleural air or fluid (absent breath sounds)
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What does the second illustration (B) depict?
- Anterior chest percussion areas
- Important in respiratory exams
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Describe the quality and length of tympany.
- Quality: Drum like
- Length: Moderate
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How are broncho-vesicular breath sounds different from vesicular and bronchial sounds?
- Inspiratory time (I) = Expiratory time (E)
- Upper 3rd of chest normal
- All lung fields normal
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How is spoken sound detected over a healthy lung compared to a consolidated lung?
- Muffled and deadened over healthy lung
- Heard loudly and clearly over consolidation or fibrotic scarring
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What is highlighted in the third illustration (C)?
- Posterior chest percussion sites
- Key for respiratory assessment
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What intensity and pitch are associated with dullness?
- Intensity: Medium
- Pitch: Medium
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What are coarse crackles (rales) and when do they occur?
- Described as "bubbling" sounds
- Occur during inspiration and expiration
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