The second right intercostal space(2nd ICS-RS) aneurysm of aortic arch dilatation of ascending aorta 2)flat chest 3)pigeon chest/funnel chest
6 • The second right intercostal space(2nd ICS-RS) • aneurysm of aortic arch • dilatation of ascending aorta 2) flat chest 3) pigeon chest/funnel chest
Inspection 2 Apical impulse *Normal: position-the fifth left intercostal space 0.5-1.0cm medial to the midclavicular line range-2.0-2.5cm in diameter
7 2 Apical impulse *Normal: • position—the fifth left intercostal space 0.5-1.0cm medial to the midclavicular line range—2.0-2.5cm in diameter Inspection
*Abnormal 1)Location #diaphragm: "transverse position"upper,outward obesity ,child,pregnacy; ascites;tumor of abdominal cavity "vertical position"(thin,high, emphysema)inferior,inner
8 *Abnormal 1) Location #diaphragm: • “transverse position” upper,outward • obesity ,child, pregnacy; • ascites; tumor of abdominal cavity • • “vertical position” (thin, high, emphysema) inferior,inner
9
#mediastinum: one side pleural effusion or pneumothorax-to the healthy side one side atelectesis or pleural adhesion-to the affected
10 • one side pleural effusion or pneumothorax—to the healthy side • one side atelectesis or pleural adhesion—to the affected #mediastinum: