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How to Answer Thorax Respiratory System Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to thorax respiratory system and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves thorax respiratory system. A strong answer should include explanation, application, and examples.

Original Question

Thorax and Respiratory System Medical Health History and Physical Assessment 1. Biological Data: Use only initials of person. Include age, gender, etc. 2. Medical Health History-consider all pertinent questions relating to the Thorax and Respiratory System. History of lung diseases (asthma, emphysema, bronchitis, pneumonia, tuberculosis), Current respiratory symptoms: chest pain with breathing, wheezing or noisy breathing, shortness of breath, how much activity produces shortness of breath, cough, sputum (color, amount), hemoptysis, toxin or pollution exposure. 3. Health Promotion and additional pertinent data related to this system. Please identify social aspects and additional tests, immunizations/vaccines that are essential to the Thorax/Lungs/Pulmonary System Health History. 4. Current Medications related to the respiratory system: 5. General Appearance of Patient: Describe the appearance of the patient. 6. Thorax and Respiratory System: Using Jarvis Video and your Textbook, complete a physical assessment of the Respiratory System. Document your assessment by providing your objective findings to the following questions. Inspect Observe the posterior thorax (bones, muscles, spine, shoulder blades) Note the chest for respiratory rate, rhythm, depth, symmetry of expansion and accessory muscle during respiration Assess thoracic expansion by standing behind patient, placing thumbs on either side of spine at T9 and T10. Ask patient to take a deep breath. Note movement — should be symmetrical bilaterally. Assess Anterior-posterior diameter (distance from front to back of chest) should be less than lateral diameter (side to side of chest). Ratio should be 1:2. Identify any spinal deformities, color and condition of skin, effort required to breath. Auscultate the posterior chest Auscultate the anterior chest Palpate. Palpate the trachea, should be midline. Palpate the chest for tenderness, masses or crepitus (crackling skin due to air in subcutaneous tissue). Palpate chest excursion (expandability). Use palmar surface of the hand to palpate for temperature, tenderness, muscle development and masses. Palpate the anterior and posterior thorax for tactile fremitus using the ball of the hand to palpate the posterior thorax while the patient says “99”. Vibration should be felt under clavicles near main stem bronchi and less as you move down and away from the center of the chest. Explain the reason for assessing tactile fremitus. Percuss the thorax. Have the patient exhale completely and hold his breath. Air filled lungs sound hollow, low pitch and long in durations. Percuss for diaphragmatic excursion on each side of the posterior thorax. The sound will become dull at the diaphragm. Explain the reasoning for percussing over the thorax. Additional Findings and Considerations 7. Identify the three types of breath sounds and describe anatomically where each type of breath sound is heard best. Provide both anterior and posterior locations. 8. Describe the configuration of a barrel chest, in other words, describe what the A/P Diameter ratio of the chest indicates. 9. Describe any variations associated between the right and left lobes of the lung. Be very specific in your response. 10. When auscultating for breath sounds, the possibility of extraneous sounds may exist. Identify 3 extraneous sounds? How could you minimize the existence of them to conduct an appropriate exam?

 
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