Respiratory Examination Flashcards Preview

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Flashcards in Respiratory Examination Deck (11):
1

What position is the patient in?

45degrees, undressed to waist

2

What are the main stages of the exam?

General Inspection
Hands
Pulse
Head and Neck
Close Inspection of the Thorax
Palpation
Percussion
Auscultation
Sit Forwards

3

What are you looking for during general inspection and where are you looking from?

Breathlessness - especially whilst talking
Tolerate lying down
Accessory muscles
Chest expansion
Hoarse
Wheeze
Stridor
Cough

4

What are you looking for when examining the hands?

Tar staining
Cyanosis
Clubbing
Rheumatological disease
Skin changes
Temperature
Tremor
Flapping tremor

5

What pulse are you examining and what for?§

Radial - rate, rhythm and respiratory rate

6

What are you looking for in the head and neck exam?

Conjunctival pallor
Horner's - ptosis, miosis, anhidrosis
Central cyanosis
JVP

7

What is part of the close inspection of the thorax?

Scars
Skin changes
Asymmetry
Deformities

8

What are you palpating for?

Chest expansion
Tracheal deviation
Apex beat

9

What are you percussing for?

Supraclavicular
Infraclavicular
Chest wall (3-4es)
Axillary line

10

Where and how do you auscultate?

Deep breath when stethoscope on skin
Clavicular - bell
Chest wall (3-4es) - diaphragm - quality, volume, added sounds
Vocal resonance - 99 instead of breath

11

What do you do when you ask the patient to sit forward?

Lymph nodes
Inspection
Palpation
Percussion
Auscultation