123 skin heart nails culture

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123 skin heart nails culture
2012-10-03 19:22:27
123 skin heart nails

skin hair nails heart culture
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  1. Bronchial vesicular sounds
    • Anterior both sides of sternum 1&4 intercostal space
    • Posterior between scapula close to spine
    • Moderate souns, egual inspiration and expiration
  2. Vesicular sounds
    • Peripherial lung field
    • Low pitch, soft, long inspiration short exspiration
    • 1, 5-9 intercostal space 
  3. Pulmonary Consolidation
    Mass, pneumonia-make sounds that shouldnt be heard in that area
  4. Brochial 
    • High pitched, loud, harsh
    • Heard over thrachea 
    • Short inspiration long exspiration 
  5. Right lung 
    3 lobes, shorter than left 
  6. Left lung 
    2 lobes, contoured to heart 
  7. Lung anatomy
    • Trachea
    • Bronochioles 
    • Alveoli
  8. Apex of lung location
    • 3/4-1 inch above clavicale
    • 1/3 in the clavicale bone 
  9. Anterior Base of lung
    • 6th rib midclavicular
    • 8th rib midaxillary
  10. Posterior Apex of lung
    • T-1 is apex 
    • C7 (vertebra prominance) is the land mark at base of neck
  11. Posterior Base of lung
    T-10 base of lung 
  12. Breathing motion
    Intercostal muscles and diaphragm make breathing happen
  13. Crepitus
    • Air in subcantanous tissue, makes a crackle sound when you palpate
    • subcantanous emphazema
  14. Tectile Fremitus
    • virbtations felt by palms of hand
    • symetrical sound that decreases at base
    • no vibrations means blockage, fluid in area
  15. Chest expantion 
    • Should be equal
    • Poss. atelectasis, pneumonia if unequal
  16. Percuss of thorax
    listen between intercostal spaces should be resonance over muscle, dull over bone
  17. Resonance
    Sound heard when palpating over tissue
  18. Diaphragmatic Excursion
    the measurment of diaphragm between exspiration and inspiration
  19. Auscultation
    • Compare side to side 
    • listen for full cycle
    • deep breaths
  20. Stridor
    • Crowing sound abnormal breathing HIGH pitched
    • upper airway inflammation
  21. Rhonchi
    low pitched, course, thick secretions 
  22. Wheeze-high
    high pitched musical squeaking
  23. Crackles 
    • Rales-secondary to fluid in airway, wet air way sound 
    • Signs of C.H.F.
  24. Pleural friction rub
    rough, grating, inflammed surface
  25. Thorax evaluation
    • Check facial expression, pallor, level of conciousness, ect
    • lose of conciousness=low O2
  26. Increase AP diamiter
    • Barrel chest-expanded chest perminitly 
    • increase in CO2 levels-not being removed from lungs
  27. Chest excursion
    hands at base of lung to check for even expansion
  28. Dead space 
    Area in lung where there is NO gas exchange
  29. Colapsed lung 
    • air get out of lung into plural cavity and pushes on lung causes lung to colapes 
    • trachea will shift from midline in this case 
  30. Manubrium
    Sternum between supra sternal notch and angle of louise
  31. Costal angle
    90 degree or less
  32. Supra Sternal Notch 
    Top of sternum just below trachea 
  33. Sternal angle/angle of louis
    • Where 2nd rib is felt
    • Major land mark 
  34. Xiphoid process
    At bottom of sternum
  35. Apex of heart 
    5th intercostal space 
  36. Treachea 
    Largest air way, in front of esophogus 
  37. Tensio Nuemo Thorax
    Pressure building up in plural cavity may rupture and collapes trechea 
  38. Brochi 
    Bifocates at angle of louis 
  39. Brochiolies 
    • lead to aveliolies 
    • gas exchange path from aveliolies 
  40. Aveliolies
    • Gas exchange! 
    • Inter-avelio space where gas exchang happens
  41. Atelectasis
    • Total or partial collapse of the lung 
    • Dull over airless area, trachea shifted to affected side 
    • Chest tube used to drain blood or air
  42. Bronchophony test 
    say 99 if heard load and distinct it is ABNORMAL
  43. Whispered pectoriloquy test
    • whisper 123, should be muffled 
    • if loud and distinct means there is a consolidation 
  44. Egophony test
    say E, if the E sound changes to an A sound that area is consolidated
  45. Asthma
    • Obscured wheeze maybe crackles 
    • Hyper-resonant 
    • Decreased tactile fremitus
  46. Emphysema
    • Hyper-resonant-obscured wheeze
    • Breath sounds decreased to absent
    • Decreased tactile fremitus
  47. Pneumothorax
    • Trachea moves to opposite side
    • Hyper-resonant, percussion drumlike over pleural air
    • Decreased to absent breath sounds and tactile frem
  48. Pleural effusion
    • build up of fluid between layers of tissue in lung and chest cavity
    • dull to flat percussion
  49. Skin has three layers
    Epidermis, dermis, subcutaneous
  50. Epidermis layers
    • Basal cell layer-makes new skin
    • Horny layer-sheds every 4 weeks
    • Helps regulated body temp
  51. Dermis
    • Conective tissue and collegen
    • Elastic tissue
  52. Terminal hair 
    thick hair on head eyebrow
  53. Vellus hair
    fine hair 
  54. Sebaceous gland 
    in dermis opens to hair follicle, produces sebum
  55. Eccrine gland 
    open to surface of skin produces sweat 
  56. Apocrine gland
    opens to hair follicle produces milky substance-sweat, body odor 
  57. Nail assessment 
    • Shap and Contour 
    • Consistency 
    • Capillary refill
  58. Clubbing 
    • Bending of fingernail downward 
    • curve larger than 180
    • low oxygen in blood-heart problem
  59. Jaundice 
    • liver problem
    • look in eye for detection-white
    • look at hard/soft pallet for detection-black
  60. Danger signs of pigmented lesions
    • A:asymmetrical shap
    • B:border irregularity
    • C:color 
    • D:diameter greater than 6mm
    • E:elevation 
  61. Flat macular hemorrhage
    • Purpura
    • Ecchymosis
    • Petechiae
    • Hemangioma
  62. Purpura
    • extensive patch of ecchymosis and petechiae
    • flat red purplish 
  63. Ecchymosis
    Purplish patch resulting from the passage of blood into the subcutaneous tissue
  64. Petechiae
    small dot like spot on body surface, caused by bleeding from superficial capillaries 
  65. Hemangioma
    benign skin lession consisting of dense, elevated masses of blood vessels