coin tap test

The coin sniper test is to affix a coin to the back and slam it with another coin. The chest piece of the stethoscope is placed on the symmetrical part of the front chest, and the slamming sound is heard. The gas in the pleural cavity on the pneumothorax side resonates, so a clear metal slamming sound is heard, and the slamming sound heard on the healthy side is rather blurred. Stick a coin on the back and slam it with another coin. The chest piece of the stethoscope is placed on the symmetrical part of the front chest, and the slamming sound is heard. Basic Information Specialist Category: Respiratory Examination Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: The subject takes a sitting position or a lying position, relaxes the muscles, sags both arms, and breathes evenly. Normal value There is no noise in the chest, no chest pain, and the breathing is even and normal. Clinical significance Abnormal results of pneumothorax, excessive pleural effusion, chest and ascites, exudative pleurisy. The people who need to be examined have the above symptoms. Precautions Taboo before the examination: poor rest, improper diet, excessive fatigue. Requirements for inspection: Actively cooperate with the doctor's work. The subject takes a sitting position or a lying position, relaxes the muscles, hangs on both arms, and breathes evenly. Check the order from top to bottom, from the front chest to the side chest, and finally the back. When palpation of the chest and back, follow the order from top to bottom and from outside to inside. The examiner uses the left middle finger as the plate finger to flatten the rib gap and is parallel to the rib. However, in the interscapular region, the plate fingers can be parallel to the spine. Use the right middle finger to end the fingerboard to refer to the front end of the second phalanx, 2 to 3 times each time. The sniper force needs to be uniform, light and appropriate, which is an indirect percussion. Sometimes the examiner puts the right hand 2 to 4 together and directly slaps the chest wall with his fingertips. This is a direct percussion. In the percussion, the upper and lower sides should be compared. Inspection process Stick a coin on the back and slam it with another coin. The chest piece of the stethoscope is placed on the symmetrical part of the front chest, and the slamming sound is heard. The gas in the pleural cavity on the pneumothorax side resonates, so a clear metal slamming sound is heard, and the slamming sound heard on the healthy side is rather blurred. Not suitable for the crowd Inappropriate crowd: None.

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