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Pediatrics. Chest examination - Leaderboard
Pediatrics. Chest examination - Details
Levels:
Questions:
12 questions
| 🇬🇧 | 🇬🇧 |
| Describe proper apex beat | Left 5th intercostal space medial to left midclavicular line normal |
| What is vocal fremitus, and what is its purpose? | Vibration transmitted throug the body assesment of lungs the sound will be better resonanted in water the sound will be different in lungs/pleural cavity filled with air or liquid should be symetrical, not to strong |
| What is the difference between bronchial and vesiculair sound ? | Bronchial sound: physiological sound above trachea and larynx, pathological above bronchus vesiclar sound: physiological sound of lungs during auscultation |
| What kind of lungs percussion do we distinguish, describe the result of it assuming that the patient is healthy | Comparative: asses symetry on both sides topographical: estimate the lower border of lung |
| What is the definition of arterial hypertension in children ? | Higher then 95percentile |
| How do we describe the murmurs over heart? | Intracardiac extracardiac organic innocent functional |
| What are characteristics of innocent murmurs? | Functional murmur physiological murmur soft and midsystolic not pathological |
| What are physiologic and pathologic sounds over lungs upon auscultation? | PHYSIOLOGY vesicular bronchial PATHOLOGY bronchial sound above bronhii wheezing and rhonchi crepitations pleural friction |
| Report the result of heart auscultation, assuming that no abnormalities are found | HR apropriate to age and regular heart tones are loud and properly accentuated only physiological murmurs present ex. innocent murmur |
| Point to the place of auscultation of each valve, where is Erb’s point | Aortoc valve: right 2nd intercostal in parasternal line Pulmonary valve: left 2nd intercostal in parasternal line Tricuspid valve: right parasternal line in attachent of the 4th cartilage Erbs point: left parasternal line in attachment of 4th cartilage Mitral valve: left 5th intercostal in parasternal line |
| Give the example of unproper chest shapes | Barrel pigon funel |