Web45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and … WebHis lung examination is significant for diffuse expiratory wheezing and a prolonged expiratory phase of respiration. There are no signs of cyanosis. The remainder of his examination is normal. A chest x-ray done in the office shows an increased anteroposterior (AP) diameter and a flattened diaphragm, but otherwise he has clear lung fields.
FNP Mastery Pulmonary Flashcards Quizlet
WebJul 27, 2024 · Increased retrosternal airspace is an indicator of hyperinflation of the lungs and is usually due to emphysema. The thickness of the space between the ascending aorta and the posterior margin of the sternum (3 cm inferior to the sternomanubrial joint) and is normally no more than 2.5 cm 1 although some authors say up to 4 cm may be normal 2. Webwith an increase in the dimension in the terminal part of inspiration. The peak distortion corresponds both to the peak negative pleural pressure and the peak trans-diaphragmatic … chinese food wolfville
Module 2 Assignment: Case Study Analysis
Web- Weakened/permanent enlargement of air spaces distal to terminal bronchioles + hypertrophy of goblet cells & mucus glands - CXR = Hyperlucent, hyperinflation, increased AP diameter, flattened diaphragm - PFT = Decreased flows (FEV1, FEV1/FVC, FEF25-75%) - Tx: low flow (SpO2 88-92%), SABA, LABA, anticholinergic, LAMA, bronchial hygiene, ICS, … WebDec 20, 2024 · Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. WebLow set diaphragm in 11th or 12th posterior rib. Heart is vertical and narrow. This is the result of downward push of diaphragm by lungs. Flattened diaphragms in lateral chest. Infra cardiac air: Left diaphragm is seen in its entirety. Retrosternal air is increased. Increased … grandma\\u0027s toy box eagle river wi