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Diaphragmatic Excursion Diaphragmatic Excursion

Diaphragmatic Excursion - PowerPoint Presentation

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Diaphragmatic Excursion - PPT Presentation

By Laurie Pomella Objectives At the conclusion of this presentation the viewer will be able to State the rationale for performing diaphragmatic excursion State the steps for performing a diaphragmatic excursion measurement ID: 264345

diaphragmatic excursion patient amp excursion diaphragmatic amp patient measurement breath point pulmonary scapular bass 615 locate examination video lungs

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Slide1

Diaphragmatic Excursion

By: Laurie PomellaSlide2

Objectives

At the conclusion of this presentation the viewer will be able to:

State the rationale for performing diaphragmatic excursion

State the steps for performing a diaphragmatic excursion measurement

Measure diaphragmatic excursion independentlyState the significance of an abnormal measurementSlide3

Purpose

“A simple measurement of diaphragmatic excursion is therefore a valuable clinical index of pulmonary compliance and another diagnostic point in the differential diagnosis of dyspnea and diffuse pulmonary disease” (Milne & Bass, 1969, excerpt summary). Slide4

Technique

Ask the patient to take a deep breath and hold their breath in

Percuss along the scapular line until you locate the lower

scapular boarder

Mark this point and allow patient to breatheSlide5

Technique Continued

Ask the patient to exhale and hold the breath out

Percuss up from the previous mark and locate the lower

scapular boarder

Mark this point and allow patient to breatheRepeat on the other side

Measure and record the distance in centimeters between the marksSlide6

Video Demonstration

http://youtu.be/8MHCE_h9QcMSlide7

Findings

The diaphragmatic excursion should be equal bilaterally

Normal measurement is about 3 to 5 cm in adults

The diaphragm is usually higher on the right than on the leftSlide8

Abnormalities

Abnormally high level of dullness and absence of excursion indicate pleural effusion or atelectasis

Other causes include abdominal or superficial painSlide9

References

Jarvis, C. (2008). Thorax and lungs. In R. Carter & D. Davis (Eds.),

Physical examination & health assessment

(5

th ed., pp. 437-480). St. Louis, MI: Saunders. Mdofola (Producer). (September, 2010). Diaphragm excursion

[Video file]. Retrieved from http://youtu.be/8MHCE_h9QcM

Milne, E.N. & Bass, H. (March, 1969). Relationship between specific dynamic pulmonary compliance and diaphragmatic excursion.

Radiology, 92

, 615. doi: 10.1148/92.3.615

Seidel, H.M., Ball, J.W.,

Dains

, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2011). Chest and lungs. In R. Carter & D.

Dedeke

(Eds.),

Mosby’s guide to physical examination

(7

th

ed., pp. 332-377). St. Louis, MI: Mosby.