Clinical skills Flashcards
1
Q
What components of history do you take?
A
respiratory symptoms, systemic symptoms, occupational symptoms, smoking, recreational drug use, family history, childhood history, travel history
2
Q
Inspection
A
colour, breathlessness, deformity, scars, symmetry of movement, abdominal paradox, hyperinflation, prominent veins, intercostal undrawing, scoliosis
3
Q
Palpitation
A
tracheal position, cricostal distance, supraclavicular fossa nodes, apex beat, tenderness (costocondritis, rib fracture), liver (position, enlargement)
4
Q
Percussion
A
dull (consolidation, collapse), stony dull (fluid - effusion), hyperresonant (pneumothorax)
5
Q
Auscultation
A
normal or vascular bronchial breathing WHEEZE - monophonic (single large airway obstruction), polyphonic (narrowing of small airways) CRACKLES - coarse (consolidation, bronchiectasis) - fine, late inspiratory (pulmonary oedema, lung fibrosis) PLEURAL RUB VOCAL RESONANCE
6
Q
Things to look out for:
A
posture colour RR pain on breathing (pleuritic) fever cachexia anaemia horners syndrome pursed lips nose - beaky central cyanosis jugular venous pressure - raised pulsatile use of accessory muscles
