Respiratory system

Cyanosis of nasolabial triangle, per oral region, nails plates, acrocyanosis __________ in rest or during physical exercises (the necessary underline). Nasal breathing is fee, difficult, absent (the necessary underline). Voice is normal, hoarse, soundless, snuffling, silent, aphonic (the necessary underline). Cough __________ present, dry, moist, troublesome, brassy paroxysmal cough, pertussis-like, barking cough, constant, cough of mucus, cough of pus, blood spitting (the necessary underline), frequent in _________ time of day. Dyspnoea, asphyxia ____________________ occurs in rest, during physical exercises (the necessary underline). Chest has cylindrical, conical, asthenic, normosthenic, hypersthnic, symmetrical, asymmetrical ______________________________, barrel, funnel, keeled, phthinoid, rachitic breast. The intercostals spaces are _______________,

Harrison’s groove ______________. Movements of etch parts of the chest are symmetrical, asymmetrical (the necessary underline) ______________________________________________________________________

Marked retraction of intercostal, suprasternal supraclavicular (the necessary underline) muscles ___________ noted. Type of breathing is thoracic, abdominal, combined (the necessary underline). Dyspnea is absent, inspiratory, expiratory, mixed (the necessary underline). The respiration rate is _____ per minute (normal, tachypnea, bradypnea). The breathing is regular, irregular, deep, hard (difficult), paradoxical, periodic, shallow, interrupted, whistling, stridulous, stenotic, Kussmaul’s breathing, Cheyne-Stokes respirations, Biot’s breathing (the necessary underline).

Palpation: Pain is __________ in maxillary and frontal sinuses. Pain in chest ________ during palpations. Vocal fremitus is normal, decreased, increased, absent ___________

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Pleural friction rubs, crepitation ____________________________________________.

In comparative percussion of the chest is heard ________________________________

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The lower costal margin of the lungs according to topographic percussion

Line	right	left
midclavicular
midaxillary
vertebral

The excursion of the low margin of the lung (at midaxillary line) is ___ cm on left, ___ cm on right. The location of the apex of the lung _______________________________

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The width of Crenig’s areas _______________________________________________

Auscultation of the lungs: the breathing is ___________________________________

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presence of rales, rhonchi and crepitations ____________________________________

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Bronchophony is ______________________________________________________.