What are the types of percussion notes?
There are two types of percussion: direct, which uses only one or two fingers, and indirect, which uses the middle/flexor finger. There are four types of percussion sounds: resonant, hyper-resonant, stony dull or dull. A dull sound indicates the presence of a solid mass under the surface.
What does chest percussion mean?
Chest percussion is a form of physical therapy used frequently in chronic obstructive pulmonary disease (COPD) and other conditions, such as cystic fibrosis, to help clear the airways from mucus.
How long should you do chest percussion?
This is usually done for three to five minutes and is sometimes followed by vibration over the same area for approximately 15 seconds (or during five exhalations). The person is then encouraged to cough or huff forcefully to get the mucus out of the lungs.
What is the purpose of percussion and vibration?
Percussion and Vibrations are techniques to help patient’s clear mucus build up. It applies forces within the chest to aid the patient’s own secretion clearance mechanisms. It can be provided short term by your therapist. If there is a long term need it will be taught to a carer.
What are the limitations of percussion Why can’t you palpate?
What are the limitations of percussion? What can’t you palpate? Abnormalities that are small or deep cannot be easily detected. Compare the mechanisms and causes of course, low pitched crackles and fine, end-inspiratory crackles.
How do you do abdominal percussion?
- Start just below the right breast in a line with the middle of the clavicle, a point that you are reasonably certain is over the lungs.
- Move your hand down a few centimeters and repeat.
- Continue your march downward until the sound changes once again.
How do you document a normal abdominal percussion?
Documentation of a basic, normal abdominal exam should look something along the lines of the following: Abdomen is soft, symmetric, and non-tender without distention. There are no visible lesions or scars. The aorta is midline without bruit or visible pulsation.
How do you document the normal percussion of the abdomen?
The liver and spleen can be measured using percussion. Normal findings on percussion include tympany over the stomach, epigastric area, and upper midline, and dullness over the liver, a full bladder, a pregnant uterus and the left lower quadrant over the sigmoid colon (if the patient is ready to have a bowel movement).