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functional units of the lung; the thin-walled chambers surrounded by networks of capillaries that are the site of respiratory exchange of carbon dioxide and oxygen
alveoli
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one of the respiratory passageways into which the segmental bronchi divide
bronchiole
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manubriosternal angle, the articulation of the manubrium and body of the sternum, continuous with the second rib
angle of louis
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cessation of breathing
apnea
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slow breathing, <10 breaths per minute, regular rate
bradypnea
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the normal breath sound heard over major bronchi, characterized moderate pitch and an equal duration of inspiration and expiration
bronchovesicular
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millions of hairliek cells lining the tracheobronchial tree
cilia
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(rales) abnormal, discontinuous, adventitious lung sounds heard on inspiration
crackles
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space between the ribs
intercostal space
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difficult, labored breathing
dyspnea
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a palpable vibration from the spoken voice felt over the chest wall
fremitus
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increased rate and depth of breathing
hyperventilation
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rapid, shallow breathing, >24 breaths per min
tachypnea
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ability to breathe easily only in an upright position
orthopnea
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striking over the chest wall with short, sharp blows of the fingers to determine the size and density of the underlying organ
percussion
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low-ptiched, musical, snoring, adventitious lung sound caused by airflow obstruction from secretions
rhonchi
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the soft, low-pitched, normal breath sounds heard over peripheral lung fields
vesicular
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sword-shaped lower tip of the sternum
xiphoid process
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high-pitched, musical, squeaking adventitious lung sound
wheeze
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In the anterior chest, the highest point of lung tissue is 3 to 4 cm above the inner third of the clavicles
apex of lung
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the highest points of the lungs
apices
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acute chest pain that occurs when myocardial demand exceeds its oxygen supply
angina pectoris
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the left semilunar valve separating the left ventricle and the aorta
aortic valve
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tip of the heart pointing down toward the 5th left intercostal space
apex of the heart
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pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th left intercostal space in the midclavicular line (point of maximal, PMI)
apical impulse
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cup-shaped endpiece use dfor soft, low-pitched heart sounds
bell
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slow heart rate, <50 beats per min in the adult
bradycardia
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bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions
clubbing
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dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood
cyanosis
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flat endpiece of the stethoscope used for hearing relatively high-pitched heart sounds
diaphragm
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the heart's filling phase
diastole
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swelling of legs or dependent body part due to increased interstitial fluid
edema
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tradition ausculatory area in the 3rd left intercostal space
erb's point
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occurs with closure of the atrioventricular valves signaling the beginning of systole
S1 (first heart sound)
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imaginary vertical line bisecting the middle of the clavicle in each hemithorax
MCL (midclavicular line)
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left AV valve separating the left atria and ventricle
mitral valve
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uncomfortbale awareness of rapid or irregular heart rate
palpitation
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area of the chest wall overlying the heart and great vessels
precordium
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right semilunar valve separating the right venticle and pulmonary artery
pulmonic valve
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occurs with closure of the semilunar valves, aortic and pulmonic, and signals the end of systole
S2 (second heart sound)
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temporary loss of consciousness due to decreased cerebral blood flow (fainting), caused by ventricular asystole, pronounded bradycardia, or ventricular fibrillation
syncope
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the heart's pumping phase
systole
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rapid heart rate, >90 beats per min in the adult
tachycardia
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broader area of the heart's outline located at the 3rd right and left intercostal space
base of the heart
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