Which part of chest wall excursion is measured if you place the palms distal to the nipple line with the thumbs meeting in the midline, and the fingers lying in the posterior axillary fold?
A)Lingula motion
B)Apical motion
C)Posterior motion
D)Lower lobe motion

Question

Quizplus · Accepted Answer

Lingula motion is measured if you place the palms distal to the nipple line with the thumbs meeting in the midline and the fingers lying in the posterior axillary fold.
The chest wall excursion is most commonly measured by direct hand method. For lingula /middle lobe or anterolateral motion measurement, the hands are placed with the palms distal to the nipple line and the thumbs meeting in the midline. The fingers lie in the posterior axillary fold.
For measuring the apical or upper lobe motion, the hands are placed over the anterior chest. The heels of the hands are about level with the fourth rib and the fingertips reach toward the upper trapezius.
For the posterior / lower lobe motion measurement, the hands are placed flat on the posterior chest wall at the level of the tenth rib. The thumbs meet at the midline. The fingers reach towards the anterior axillary fold.

Which Part of Chest Wall Excursion Is Measured If You