Thorax and Lung Assessment - Adult Health Assessment

Thorax and Lung Assessment - Adult Health Assessment

Video Analysis for Thorax and Lung Assessment - Adult Health Assessment

May 20, 2014

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Thorax and Lung Assessment - Adult Health Assessment

21

Posterior Chest:


- Inspect the posterior chest: the spinous process should be in a straight line, the thorax is symmetrical, and ribs are downward sloping.

- Assess for barrel chest: This abnormality would cause an equal anteroposterior-to-transverse diameter and horizontal ribs. This occurs with chronic emphysema and asthma.

- Assess the skin color and condition. Note any lesions.

- Symmetric Expansion: Confirm by placing hands on posterior chest with thumbs at the level of T9 or T10. Ask the patient to take a deep breath, your thumbs should move apart symmetrically. Note any lag in expansion.

- Tactile Fremitus: Fremitus is a palpable vibration. Use palmar base of fingers and touch chest as patient repeats "ninety-nine." The vibrations should feel the same as you pa...

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