Cardio and respiratory

Question 1

What are the components of the chest/pulmonary/CV visual inspection?

(We only need to do one inspection section for this)

Answer 1

Chest work, rate and effort, heaves

Chest deformaties and tracheal position

Cyanosis

Clubbing

JVP

CCCC-JVP

Question 2

What is a nl finding for rate depth and effort of breathing

Answer 2

No increase in rate effort or depth

Question 3

What should we note on exam on chest as far as deformaties go?

Answer 3

Is trachea midline? Pectus carinatum or excavatum?

Question 4

What are the components of the pulmonary palpation exam?

Answer 4

Percussion

Excursion of the ribs, lateral/posterior

Fremitus, Tactile

Tenderness

P.E.F.T.

Question 5

What are the components of the cardio palpatory exam?

Answer 5

PMI

Anterior Chest wall (thrills/heaves)

Pulses (carotid, radial, dorsalis pedis, tibialis posterior) Bilaterally

P.A.P.

Question 6

What are the components of the ausculatory exam for pulmonary/chest?

Answer 6

Breath Sounds (3 posterior/bilat., 2 anterior/bilat, 2 lateral/bilat)

Special Tests - (Egophony - eee; Bronchophony - “99”, Whispered pectoriloquy

B.S.

Question 7

What are the components of auscultation in the chest exam?

Answer 7

5 posts (Aortic, Pulmonic, Erbs, Tricuspid, Mitral) Use both bell **AND **diaphragm.

Carotid arteries

Question 8

What is important to have the patient do during lung auscultation?

Answer 8

Breathe with mouth open.

Question 9

What is important to remember when auscultating the carotid?

How about when palpating?

Answer 9

When auscultating, have patient hold breath.

Before palpation listen for bruit, just in case palpation were to dislodge something an lead to a CVA.

Question 10

What other exam do you absolutely need to remember to do?

Answer 10

Osteopathic exam