Question

I'm doing an assessment assignment on what's listed below. I need 2 Sentences for each question.

1. Identify percussion notes/symmetry posteriorly.

2. Inspects /palpates AP versus transverse diameter.

3. Identify percussion notes/symmetry anteriorly

4. Notes any presence of cough

Answer 1

1,idneitfy percusion notes/ symmetry posteriorly
Percussion in the lung field can be done by keeping the middle finger firmly on the chest wall along with intercostal space and tap chest over the distal interphalangeal joint with the middle finger of the opposite hand. tapping movement should come from the wrist. tap 2-3times in a row. never leave the percussing finger on chest otherwise you will lose the sound. stand on one side and with your flat of the hand and tap from top to bottom of the chest from side to side to compare the sound.
2, AP diameter is the anteroposterior diameter that normally smaller than the lateral diameter. shoulder and scapula will be at an equal horizontal portion. the ratio of AP vs transverse diameter is 1:2.
3, Percussion the same in the areas of both sides including apices, posterior, lateral and anterior of the chest at about 5cm interval from upper to lower chest.moving from left to right and right to left and both sides should be compared for dulness and resonance inside the chest wall.
4, listen the cough carefully for duraito ,coarse, triggers, dry or productive cough and associated shortness of breath, wheeze etc. look for signs when coughing like sweating, clubbing, cyanosis and respiratory rate, crackles, wheeze,plural rub etc. careful history collection and complete physical examination find out the presence of cough.