～肺の身体診察法～
Inspection
First, comprehend where Lungs exactly are!
Percussion
Assessment of underlying tissue
Percuss 7 points on each side, back + front
Tympanic: cheek
Hyperresonance: drum-like
Dullness: table
Flatness: towel
★Tactile fremitus:
Palpate and compare symmetric areas of the lungs in the pattern shown in the photograph.
Ausculation
Identification of underlying pathology.
| Crackles (or Rales) |
Wheezes and Rhonchi |
| Discontinuous |
Continuous |
| Intermittent, nonmusical and brief |
≥250 msec, musical, prolonged (but not necessarily persisting throughout the respiratory cycle) |
| Like dots in time |
Like dashes in time |
★ Fine crackles:
soft, high-pitched, very brief (5-10 msec)
★Coarse crackles:
somewhat louder, lower in pitch, brief (20-30 msec)
★ Wheezes:
relatively high-pitched (≥400 Hz) with hissing or shrill quality
★Rhonchi:
relatively low-pitched (≤200 Hz) with snoring quality
最終更新：2010年05月20日 20:48
