胸部查体英文PPT课件.ppt
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1、Physical Examination in Respiratory Systemwang yingyan1.Superficial landmarks,imaginary lines and regions of the chestAnterior landmarkManubriumgladiolusXiphoid processAnterior landmarkSternal angle (louis angle)lCosticartilage of second riblBronchial bifurcationlThe superior edge of cardiac atriuml
2、The junction of upper and lower mediastinumlThe level of fifth thoracic vertebrae posteriorPosterior landmarklThe scapular angle sit or stand,arms at the sideseventh rib or interspace or the level of eighth thoracic vertebralThe seventh cervical vertebral spine prominently protrudingScapulae anglese
3、venth cervical vertebral spineAnterior imaginary linesAnterior midlineMidclavicular linelAnterior midline drawn through the middle of the sternumlMidclavicular line drawn through the middle of the clavicleLateral imaginary linesAnterior axillary linePosterior axillary lineMidaxillary linelAnterior a
4、xillary line drawn along the anterior axillary foldslMidaxillary line drawn from the vertex of the axillaelPosterior axillary line drawn along the posterior axillary foldsPosterior imaginary linesScapular linePosterior midlinelPosterior midline drawn through the pos-terior spinous process of vertebr
5、aelScapular line drawn through the scapular angleAnterior fossaeEpigastric angle Infraclavicular fossaSuprasternal fossaSupraclavicular fossaAxillary fossaAxillary fossaPosterior imaginary regionInfrascapular regionInterscapular regionSuprascapular region2.Thoraxn nShape:symmetrical without deformit
6、y Anteroposterior/transverse diameter is 1:1.5n nRespiratory rhythm:regular and symmetric model n nAbdominal respiratorymen and childrenAbdominal respiratorymen and childrenn nChest respiratorywomenChest respiratorywomenn nvein n ntenderness or subcutaneous crepitus4.LungInspection lRespiratory rate
7、14-18 cycles per minutelIntercostal space:narrow,widePalpation n nChest excursionChest excursionn nHands along costal marginHands along costal marginn nInspire deeply Inspire deeply n nObserve movementObserve movementn nVocal fremitus place both palm or the place both palm or the unlarunlar side of
8、 the hands on the side of the hands on the symmetrical position with a symmetrical position with a light touchlight touch repeat word“repeat word“yiyi”compare vibration compare vibrationn nPleural friction rubsn nBreathe deeply,Breathe deeply,n nPlace palm or the Place palm or the ulnarulnar side of
9、 hands on side of hands on the inferior anterior lateral portion of the the inferior anterior lateral portion of the chestchestn nLike two pieces of leather rubbedLike two pieces of leather rubbedn nHolding breathing disappeared Holding breathing disappeared Percussion1.Position n nSit or lie,balanc
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