Inspection Respratory ryhm/W小nv 3. Cheyne-Stokes'breathing Biot's breathing Mm Decreased excitability of respiratory center Inhibited breathing Sudden cessation of breathing due to chest pain Mwm Sighing breathing Depression,intension
Inspection 3. Respiratory rhythm Cheyne-Stokes’ breathing Biot’s breathing _____Decreased excitability of respiratory center Inhibited breathing ◼ Sudden cessation of breathing due to chest pain Pleurisy, thoracic trauma Sighing breathing ◼ Depression, intension
Palpation 口Thoracic expansion Massive hydrothorax,pneumonia, pleural thickening,atelectasis Vocal fremitus(tactil fremitus) Pleural friction fremitus Cellulose exudation in pleura due to pleurisy Holding breathing -disappeared Tuberculous pleurisy,uremia,pulmo embolism
Palpation Thoracic expansion ◼ Massive hydrothorax, pneumonia, pleural thickening, atelectasis Vocal fremitus (tactil fremitus) Pleural friction fremitus ◼ Cellulose exudation in pleura due to pleurisy ◼ Holding breathing disappeared ◼ Tuberculous pleurisy, uremia, pulmo embolism
Percussion
Percussion
1.Method Mediate Pleximeter:distal inter-phalangeal joint of left middle finger 口 Plexor:right middle finger tip ■Immediate ■Order Up to down,anterior to posterion
1. Method ◼ Mediate Pleximeter: distal inter-phalangeal joint of left middle finger Plexor: right middle finger tip ◼ Immediate ◼ Order Up to down, anterior to posterior
2.Affected factors Thickness of thoracic wall Calcification of costal cartilage ■Hydrothorax Containing gas in alveoli Alveolar tension Alveolar elasticity
2. Affected factors ◼ Thickness of thoracic wall ◼ Calcification of costal cartilage ◼ Hydrothorax ◼ Containing gas in alveoli ◼ Alveolar tension ◼ Alveolar elasticity