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Palpation:Use the ball of one hand and move the hand from one side of the posterior thorax to other. Note presence of swelling, masses, muscle tone, fremitus and crepitation. Fremitus is a vibration that can be felt by the hand through the chest wall. Ask the patient to speak in a normal tone of voice, repeating "99" or "1, 2, 3" while you palpate the chest. Increased vibration near the large bronchi is normal. In other areas, an increased fremitus is indicative of increased density of lung tissue which is seen in consolidation of lung, lobar pneunomia and pulmonary oedema. Decreased fremitus is normal in patient who has a soft voice. In other cases, it indicates obstruction of air flow into a portion of lung, pleural effusion, hemothorax, pneumothorax or a bronchial obstruction.
Crepitatoin is a tactile sensation or a coarse, crackling sound produced by the compression of skin with air in the underlying subentaneous tissue see in patients with aurgical emphysema or chest trauma (air leak into subcentarcons tissue).
Palpate the trachea to see it is located in a midline position in the neck. Tracheal deviation can occur on atilectasis, pneumonectomy, mediastinal mass, large pleural effusion, tension pneuthorax, unilateral emphysema and neck tumor
What is the classification of protozoa with examples
CELL MEMBRANE It is biological, thin, elastic, flexible & selective permeable membrane. Term "Cell membrane" was coined by Negeli & Crammer 1855. Term " Plasma membr
Biologically compatibility od implant materials An ideal implant material will elicit mainly physiological reactions within the surrounding tissues (bone, connective tissue and
From an ecological point of view, species richness alone has limited value. More meaningful measures use the number of different species in a given area (species richness) as well
55yrs old woman had burns and has lost 6% body fluid.She weighs 50Kg.How much fluid does she need to replace the lost fluid.
Handling : You can reduce direct contact with microorganisms by careful handling and by wearing protective clothing such as rubber gloves, mask, lab coat, etc. Even if you entirel
Q. What are the Signs used in acute pericarditis? • Pericardial friction rub is pathognomonic of pericarditis. It is heard as a phasic scatching sound. It may vary with phases
what is cell and what are the components of cell
What are the precautions to be taken when harvesting autogenous bone grafts from mandibular symphysis and ramus? When harvesting grafts from the mandibular symphysis region, fo
EPITHELIA L TISSUE OR EPITHELIA Epithelium term coined by Ruysh, it was applied originally to thin skin covering the nipple. (G.epi = upon, thele = nipple) Epithelial tis
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