Download - Semio - curs2 respirat
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EXAMENUL OBIECTIV EXAMENUL OBIECTIV AL AL
APARATULUI RESPIRATOR APARATULUI RESPIRATOR
Dr. Sorin StamateNoiembrie 2007
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EXAMENULOBIECTIV
AL APARATULUIRESPIRATOR
INSPECTIA
PALPAREA
PERCUTIA
AUSCULTATIA
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EXAMEN OBIECTIV AL APARATULUI RESPIRATOREXAMEN OBIECTIV AL APARATULUI RESPIRATOR
REPERE ANATOMICEREPERE ANATOMICEANTERIORANTERIOR
LINIILE STERNALELINIILE STERNALE
LINIA MEDIOCLAVICULARALINIA MEDIOCLAVICULARA
LATERALLATERAL
LINIILE AXILARELINIILE AXILARE
POSTERIORPOSTERIORLINIA SPINOASALINIA SPINOASASPATIUL INTERSCAPULOVERTEBRALSPATIUL INTERSCAPULOVERTEBRALSCAPULASCAPULA
ANTERIOARA
MEDIE
POSTERIOARA
MEDIOSTERNALA
LATEROSTERNALA
PARASTERNALA
MARGINE MEDIANAVARFAPOFIZA SPINOASA
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EXAMEN OBIECTIV AL APARATULUI RESPIRATOREXAMEN OBIECTIV AL APARATULUI RESPIRATOR
PROIECTII ANATOMICEPROIECTII ANATOMICE
VARFURIVARFURI
SCIZURA SI LOBISCIZURA SI LOBI
CORDCORD
SPATIUL SPATIUL TRAUBETRAUBE
FICATFICAT
SPLINASPLINA
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EXAMEN OBIECTIV AL APARATULUI RESPIRATOREXAMEN OBIECTIV AL APARATULUI RESPIRATOR
ETAPE
INSPECTIE
PALPARE
PERCUTIE
AUSCULTATIE
TIMPI
– STATICA– DINAMICA
– STATICA– DINAMICA
– DIRECTA– INDIRECTA (MEDIATA)
– DIRECTA– INDIRECTA
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INSPECTIAINSPECTIA
STATICA:STATICA: A CONTINATORULUI A CONTINATORULUI
TEGUMENTETEGUMENTE
GLANDE MAMAREGLANDE MAMARE
TORACE TORACE — FORMA— FORMA
GENERALIZATE
LOCALIZATE
SIMETRICE
ASIMETRICE
MODIFICARI
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MODIFICARI ALE TORACELUIMODIFICARI ALE TORACELUI
LONGILINLONGILIN BREVILINBREVILIN ATLETICATLETIC EMFIZEMATOSEMFIZEMATOS CONOIDCONOID PECTUM GALLINACEUMPECTUM GALLINACEUM TORACE FTIZICTORACE FTIZIC TORACE ASTENICTORACE ASTENIC TORACE DE PANTOFARTORACE DE PANTOFAR TORACE CIFOTIC (CIFOSCOLIOTIC)TORACE CIFOTIC (CIFOSCOLIOTIC) TORACE POTTICTORACE POTTIC
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INSPECTIA DINAMICA (A CONTINUTULUI)INSPECTIA DINAMICA (A CONTINUTULUI)
RESPIRATIA NORMALARESPIRATIA NORMALA
TIPUL DE RESPIRATIETIPUL DE RESPIRATIE
FRECVENTA RESPIRATORIEFRECVENTA RESPIRATORIE
RESPIRATIE AMPLARESPIRATIE AMPLA
RETRACTIIRETRACTII
BOMBARIBOMBARI
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PALPAREAPALPAREA
STATICASTATICA
(MORFOLOGICA, A CONTINATORULUI) (MORFOLOGICA, A CONTINATORULUI) apreciaza:apreciaza:
TEGUMENTELETEGUMENTELE
GLANDELE MAMAREGLANDELE MAMARE
TORACETORACE
– FORMAFORMA
– DIAMETREDIAMETRE
– ASIMETRIIASIMETRII
– MOBILITATE PASIVAMOBILITATE PASIVA
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PALPAREAPALPAREA
DINAMICADINAMICA
A VIBRATIILOR VOCALE A VIBRATIILOR VOCALE (FREAMATUL (FREAMATUL
PECTORAL)PECTORAL)
A AMPLEXATIILOR A AMPLEXATIILOR
– VARFURILORVARFURILOR
– BAZELORBAZELOR
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PALPAREA DINAMICAPALPAREA DINAMICA
FREAMATUL PECTORALFREAMATUL PECTORAL
NORMALNORMAL
ACCENTUATACCENTUAT
DIMINUATDIMINUAT
ABOLITABOLIT
ACCENTUAREACCENTUARE
In SD. DE CONDENSARE CU In SD. DE CONDENSARE CU BRONSIE LIBERABRONSIE LIBERA (pneumonii, atelectazii, infiltrate bacilare)(pneumonii, atelectazii, infiltrate bacilare)
In SD. CAVITAREIn SD. CAVITARE
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PALPAREA VIBRATIILOR VOCALEPALPAREA VIBRATIILOR VOCALE
DIMINUATE (ABOLIT)DIMINUATE (ABOLIT)
In SD. DE CONDENSARE CU In SD. DE CONDENSARE CU BRONSIE NEPERMEABILABRONSIE NEPERMEABILA
In SD. de DISTENSIE ALVEOLARAIn SD. de DISTENSIE ALVEOLARA
EDEMUL PULMONAREDEMUL PULMONAR
CAUZE PLEURALECAUZE PLEURALE– PNEUMOTORACEPNEUMOTORACE– SINDR. LICHIDIENESINDR. LICHIDIENE– PAHIPLEURITEPAHIPLEURITE
AFECTARI LARINGIENEAFECTARI LARINGIENE
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PALPAREA AMPLEXATIILORPALPAREA AMPLEXATIILOR
VARFURILORVARFURILOR
BAZELORBAZELOR
** SE COMBINA CU MODIFICARILE OBSERVATE SE COMBINA CU MODIFICARILE OBSERVATE
LA INSPECTIE SI PALPARE STATICALA INSPECTIE SI PALPARE STATICA
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PERCUTIAPERCUTIA
DIRECTADIRECTA —— A CLAVICULEIA CLAVICULEI
INDIRECTAINDIRECTA —— MEDIATAMEDIATA
– POSTERIOARAPOSTERIOARA
– LATERALALATERALA
– ANTERIOARAANTERIOARA
– MANEVRA HIRTZMANEVRA HIRTZ
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PERCUTIAPERCUTIA —— MODIFICARIMODIFICARI
a)a) HIPERSONORITATEHIPERSONORITATE
– SD. DE DISTENSIE ALVEOLARASD. DE DISTENSIE ALVEOLARA
– SD. CAVITARSD. CAVITAR
– PNEUMOTORAXPNEUMOTORAX
b)b) TIMPANISMTIMPANISM
– SD. CAVERNOSSD. CAVERNOS
– PNEUMOTORAXUL MASIVPNEUMOTORAXUL MASIV
c)c) SUNETUL METALICSUNETUL METALIC
– CAVITATI SUPERFICIALE cu diam. CAVITATI SUPERFICIALE cu diam. > 6cm> 6cm FARA COMUNICARE BRONSICAFARA COMUNICARE BRONSICA
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PERCUTIAPERCUTIA —— MODIFICARIMODIFICARI
d)d) MATITATE (SUBMATITATE)MATITATE (SUBMATITATE)
– CAUZE PULMONARE – CAUZE PULMONARE – sd. de CONDENSAREsd. de CONDENSARE
– CAUZE PLEURALECAUZE PLEURALE Sd. LICHIDIENE PLEURALESd. LICHIDIENE PLEURALE
MARIMARI
MEDIIMEDII
PAHIPLEURITEPAHIPLEURITE
PITRESΔ GARLANDΔ GROCCO-RAUCHFUSS
Curba DAMOISEAU ELLISSKODISMSpatiul TRAUBE MAT
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AUSCULTATIAAUSCULTATIA
DIRECTADIRECTA
MEDIATAMEDIATA
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AUSCULTATIA DIRECTAAUSCULTATIA DIRECTA
AUSCULTATIA VOCIIAUSCULTATIA VOCII
BRONHOFONIEBRONHOFONIE– Sd. de CONDENSARE cu BRONSIE PERMEABILASd. de CONDENSARE cu BRONSIE PERMEABILA– Sd. CAVITARE cu BRONSIE PERMEABILASd. CAVITARE cu BRONSIE PERMEABILA– Sd. MEDIASTINALE (Sd. MEDIASTINALE (semnul Dsemnul DÉÉSPINE)SPINE)
EGOFONIEEGOFONIE– Sd. de CONDENSARESd. de CONDENSARE– Sd. LICHIDIENE cu CANTITATE MEDIESd. LICHIDIENE cu CANTITATE MEDIE
PECTORILOCVIAPECTORILOCVIA– PNEUMOTORAXPNEUMOTORAX
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AUSCULTATIA DIRECTAAUSCULTATIA DIRECTA
AUSCULTATIA VOCIIAUSCULTATIA VOCII
VOCEA AMFORICAVOCEA AMFORICA– PNEUMOTORAXPNEUMOTORAX– CAVERNE MARICAVERNE MARI
PECTORILOCVIA PECTORILOCVIA AFONAAFONA– Sd. LICHIDIENE PLEURALE cu Sd. LICHIDIENE PLEURALE cu CANTITATE MEDIECANTITATE MEDIE
– Sd. de CONDENSARE NERETRACTILE cu Sd. de CONDENSARE NERETRACTILE cu BRONSIE PERMEABILABRONSIE PERMEABILA
– PNEUMOTORAXPNEUMOTORAX
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AUSCULTATIA MEDIATAAUSCULTATIA MEDIATA
RAPORTUL INSPIR – EXPIRRAPORTUL INSPIR – EXPIR
MURMURUL VEZICULAR MURMURUL VEZICULAR (INLOCUITOR DE MURMUR VEZICULAR)(INLOCUITOR DE MURMUR VEZICULAR)
ZGOMOTE SUPRADAUGATEZGOMOTE SUPRADAUGATE
ZGOMOTUL LARINGO-TRAHEALZGOMOTUL LARINGO-TRAHEAL
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RAPORTUL INSPIR – EXPIR RAPORTUL INSPIR – EXPIR
INSPIRINSPIR PRELUNGIT PRELUNGIT
Sd. OBSTRUCTIVESd. OBSTRUCTIVE LARINGIENELARINGIENE TRAHEALETRAHEALE BRONSII MARIBRONSII MARI
EXPIREXPIR PRELUNGIT PRELUNGIT Sd. de DISTENSIE ALVEOLARASd. de DISTENSIE ALVEOLARA SPASMUL BRONSICSPASMUL BRONSIC EDEM PULMONAREDEM PULMONAR BRONHOPNEUMONIIBRONHOPNEUMONII
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MURMURUL VEZICULARMURMURUL VEZICULAR
EXAGERAT
INASPRIT
DIMINUAT
ABOLIT
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MURMURUL VEZICULARMURMURUL VEZICULAR
EXAGERAT – EXAGERAT – hiperfunctia compensatorie a unui plamanhiperfunctia compensatorie a unui plaman
– Sd. LICHIDIENESd. LICHIDIENE– ATELECTAZIIATELECTAZII– LEZIUNI INFILTRATIVE IMPORTANTELEZIUNI INFILTRATIVE IMPORTANTE
INASPRITINASPRIT
– REDUCERI DE CALIBRU BRONSICREDUCERI DE CALIBRU BRONSIC
– EDEM DE MUCOASA BRONSICAEDEM DE MUCOASA BRONSICA
– DEPOZITE BRONSICE ADERENTEDEPOZITE BRONSICE ADERENTE
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MURMURUL VEZICULARMURMURUL VEZICULAR
DIMINUATDIMINUAT
– STENOZE LARINGIENESTENOZE LARINGIENE
– STENOZE BRONSICESTENOZE BRONSICE
– LIMITAREA MISCARILOR PULMONARELIMITAREA MISCARILOR PULMONARE(PLEURITE, PLEUREZII)(PLEURITE, PLEUREZII)
– Sd. de CONDENSARESd. de CONDENSARE
– Sd. de DISTENSIE ALVEOLARA PERMANENTASd. de DISTENSIE ALVEOLARA PERMANENTA
– Sd. LICHIDIENE cu CANTITATE MICA/MEDIE Sd. LICHIDIENE cu CANTITATE MICA/MEDIE DE LICHIDDE LICHID
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MURMURUL VEZICULARMURMURUL VEZICULAR
ABOLIT (ABOLIT (SILENTIUM RESPIRATOR)SILENTIUM RESPIRATOR)
– Sd. LICHIDIENE PLEURALE MASIVESd. LICHIDIENE PLEURALE MASIVE
– PNEUMOTORAXPNEUMOTORAX
– Sd. de CONDENSARE MASIVESd. de CONDENSARE MASIVE
– CORPI STRAINI INTRABRONSICICORPI STRAINI INTRABRONSICI
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INLOCUITOARELE DE MURMUR VEZICULARINLOCUITOARELE DE MURMUR VEZICULAR
SUFLURILESUFLURILE– TUBARTUBAR
– PLEURETICPLEURETIC
– AMFORICAMFORIC
– CAVERNOSCAVERNOS
RESPIRATIA SUFLANTARESPIRATIA SUFLANTA
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SUFLURILESUFLURILESUFLUSUFLU TUBAR TUBAR
Sd. de CONDENSARE in jurul unei BRONSIISd. de CONDENSARE in jurul unei BRONSIIMARI PERMEABILEMARI PERMEABILE
SUFLUSUFLU PLEURETIC PLEURETIC Transmiterea zgomotului LARINGO-TRAHEALTransmiterea zgomotului LARINGO-TRAHEAL
printr-o CONDENSARE PULMONARA asociataprintr-o CONDENSARE PULMONARA asociataunui Sd. LICHIDIAN PLEURAL cu unui Sd. LICHIDIAN PLEURAL cu CANTITATE MEDIECANTITATE MEDIE
TIMBRUTIMBRU DULCE DULCE SE AUSCULTA MAI BINE INSE AUSCULTA MAI BINE IN EXPIR EXPIR DE INTENSITATEDE INTENSITATE SLABA SLABA
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SUFLURILESUFLURILE
SUFLUSUFLU AMFORIC AMFORIC
– CAVITATI MARI si SUPERFICIALE cu CAVITATI MARI si SUPERFICIALE cu PERETI NETEZIPERETI NETEZI
– SE AUSCULTA MAI BINE IN SE AUSCULTA MAI BINE IN INSPIRINSPIR
SUFLUSUFLU CAVERNOS CAVERNOS– DE TONALITATE DE TONALITATE JOASAJOASA
– TIMBRU TIMBRU GAUNOSGAUNOS
– CAVERNE cu CAVERNE cu DIAM. > 6cm DIAM. > 6cm situate maisituate maiPROFUNDPROFUND
– INSPIR + EXPIRINSPIR + EXPIR
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RESPIRATIA SUFLANTARESPIRATIA SUFLANTA
in ZONE cu MURMUR VEZICULAR NORMAL,in ZONE cu MURMUR VEZICULAR NORMAL,MICI ZONE de CONDENSARE MICI ZONE de CONDENSARE
TONALITATETONALITATE INALTA INALTA
INSPIR + INSPIR + EXPIREXPIR
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ZGOMOTELE SUPRADAUGATEZGOMOTELE SUPRADAUGATE
DE CAUZADE CAUZA BRONHOPULMONARA BRONHOPULMONARA
– RALURIRALURI
DE CAUZADE CAUZA PLEURALA PLEURALA– FRECATURA PLEURALAFRECATURA PLEURALA
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RALURILERALURILE
RALURIRALURI USCATE USCATE
– RONFLANTERONFLANTE
– SIBILANTESIBILANTE
RALURIRALURI UMEDE UMEDE
– SUBCREPITANTESUBCREPITANTE
– CREPITANTECREPITANTE
– CAVERNOASECAVERNOASE
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RALURILE USCATE (CONTINUE)RALURILE USCATE (CONTINUE)
RALURILE RALURILE RONFLANTERONFLANTE
TONALITATETONALITATE JOASA JOASA
TIMBRU TIMBRU ASPRU, “ASPRU, “SFORAITSFORAIT””
INSPIR + EXPIRINSPIR + EXPIR
SE MODIFICA CU TUSEASE MODIFICA CU TUSEA(LOCALIZARE, TIMBRU si INTENSITATE)(LOCALIZARE, TIMBRU si INTENSITATE)
AFECTIUNI ALEAFECTIUNI ALE BRONSIILOR MARI BRONSIILOR MARI
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RALURILE USCATE (CONTINUE)RALURILE USCATE (CONTINUE)
RALURILE RALURILE SIBILANTESIBILANTE
TONALITATETONALITATE INALTA INALTA
TIMBRU TIMBRU MUZICAL, “MUZICAL, “SUIERATSUIERAT””
INSPIR + EXPIRINSPIR + EXPIR
SE MODIFICA CU TUSEASE MODIFICA CU TUSEA(LOCALIZARE, TIMBRU si INTENSITATE)(LOCALIZARE, TIMBRU si INTENSITATE)
AFECTIUNI aleAFECTIUNI ale BRONSIILOR MIJLOCII si MICI BRONSIILOR MIJLOCII si MICI
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RALURILE UMEDE (DISCONTINUE)RALURILE UMEDE (DISCONTINUE)
RALURILE RALURILE SUBCREPITANTESUBCREPITANTE
INEGALEINEGALE
TONALITATETONALITATE INALTA INALTA
TIMBRU TIMBRU ““ca suflatul aerului intr-un pahar cu apaca suflatul aerului intr-un pahar cu apa””
MICI (MICI (FINE)FINE), MIJLOCII, MARI (, MIJLOCII, MARI (GROASE)GROASE) INSPIR + prima parte a EXPIRULUIINSPIR + prima parte a EXPIRULUI
SE MODIFICA CU TUSEASE MODIFICA CU TUSEA(LOCALIZARE, TIMBRU si INTENSITATE)(LOCALIZARE, TIMBRU si INTENSITATE)
AFECTIUNI ALEAFECTIUNI ALE BRONSIILOR de ordin IV, BRONSIILOR de ordin IV, BRONSIOLEBRONSIOLE
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RALURILE UMEDE (DISCONTINUE)RALURILE UMEDE (DISCONTINUE)
RALURILE RALURILE CREPITANTECREPITANTE
Cele mai “USCATE“ dintre ralurile UMEDECele mai “USCATE“ dintre ralurile UMEDE
TONALITATETONALITATE INALTA INALTA
TIMBRU TIMBRU ~ cu ~ cu “frecatul firului de par langa ureche”“frecatul firului de par langa ureche”
In a IIa JUMATATE a INSPIRULUI In a IIa JUMATATE a INSPIRULUI
VIN “IN PLOAIE” DUPA TUSEVIN “IN PLOAIE” DUPA TUSE
Tradeaza AFECTIUNI Tradeaza AFECTIUNI ALVEOLAREALVEOLARE
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RALURILE UMEDE (DISCONTINUE)RALURILE UMEDE (DISCONTINUE)
CREPITANTELE DECREPITANTELE DE INTOARCERE INTOARCERE– Mai UMEDEMai UMEDE– Mai INEGALEMai INEGALE– Mai GROASEMai GROASE– OCUPA TOT INSPIRULOCUPA TOT INSPIRUL– Se pot confunda cu SUBCREPITANTELESe pot confunda cu SUBCREPITANTELE– Apar in PNEUMONIE – faza de REZOLUTIEApar in PNEUMONIE – faza de REZOLUTIE
CREPITANTELE DECREPITANTELE DE DEPLISARE DEPLISARE– DUPA REPAUS PRELUNGIT LA PATDUPA REPAUS PRELUNGIT LA PAT– DISPAR dupa cateva RESPIRATII MAI AMPLEDISPAR dupa cateva RESPIRATII MAI AMPLE
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RALURILE UMEDE (DISCONTINUE)RALURILE UMEDE (DISCONTINUE)
RALURILE RALURILE CAVERNOASECAVERNOASE
~ cu SUBCREPITANTELE MARI~ cu SUBCREPITANTELE MARI
MARIMARI
INEGALE INEGALE
PUTIN NUMEROASEPUTIN NUMEROASE
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FRECATURA PLEURALAFRECATURA PLEURALA
SUPERFICIALA SUPERFICIALA (se produce “sub ureche”)(se produce “sub ureche”)
TIMBRU TIMBRU USCAT USCAT
INSPIR + EXPIRINSPIR + EXPIR
NUNU SE MODIFICA CU SE MODIFICA CU TUSEATUSEA
Se accentueazaSe accentueaza la la APASAREA STETOSCOPULUIAPASAREA STETOSCOPULUI
UneoriUneori poate avea poate avea ECHIVALENT PALPATORECHIVALENT PALPATOR
In In AFECTARI INFLAMATORII PLEURALEAFECTARI INFLAMATORII PLEURALE
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