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Flashcards in Respiratory examination Deck (8):
1

Key questions from the history

Breathlessness->severity with activity, poor weight gain
Cough->chronology, nature
Feeding in infancy->choking, symptoms with induction of formula
Fever
Noisy breathing->wheeze, stridor

Cough, wheeze or stridor->if sudden onset, was there a foreign body

ENT:
Pulling at ears
Difficulty swallowing
Offensive odour breath
Nasal secretions, bleeding

Family history:
Asthma, CF
Atopy
Smokers, pets
Travel to area of high TB prevalence

2

Observation

Respiratory distress
Respiratory rate
Wheeze, stridor, grunting
Restless or drowsy
Cyanosis or pallor
Finger clubbing->CF, bronchiectasis

3

Chest wall palpation

Assess expansion
Check trachea
Feel apex beat
Chest deformity
Crackles

4

Types of chest wall deformity

Harrison's sulcus
Barrel chest
Pectus excavatum->MVP, marfan's
Pectus carinatum->idiopathic or severe asthma

5

Percussion

Resonant
Hyper-resonant
Dull
Stony dull

6

Auscultation: absent, bronchial + crackles, wheeze

Absent breath sounds->pleural effusion, pneumothorax, consolidation
Bronchial breathing + crackles->consolidation
Expiratory wheeze in asthma and bronchiolitis
In young children, sounds transmitted across whole chest

7

Ear nose and throat: red and buldging, dull and retracted

Examine ear drums
Red and buldging->OM
Dull and retracted->CSOM
Nostrils->swollen, polyps, obstruction
Pharynx
Cervical lymphadenopathy

8

Age and RR at rest: 12

12= 15-20

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