Flashcards in The Respiratory Osce Deck (19):
List the 6 sections the respiratory OSCE can be broken up into.
1) Set up
6) Scope for further examination
List the steps included in set up
Explaining the exam
Positioning and Exposure
List the steps included in Inspection
Peripheral examination (to include CO2 retention flap)
List the steps included in Palpation
Palpate for lymph nodes
Palpate for trachea
Palpate for chest expansion
List the step(s) included in Percussion
Percussion of front and back (and examine further to elicite extent of problem in the case of an abnormality)
List the steps included in Scope for Further Examination
- Be aware of potential signs for tactile vocal fremitus, vocal resonance and whispering pectoriloquy.
- State further tests (peak flow, sputum inspection, oxygen saturations)
What is included in 1) Positioning and Exposure
complete exposure of chest, back and front for inspection, (although breasts can be covered for the remainder of the time in women.
What is included in 2) Overall inspection
Inspect patient overall and comment on build, posture demeanour and any abnormality.
List the steps included in the section 'Auscultation'
Auscultate all areas of chest (for a whole respiratory cycle)
What is included in 3) Peripheral Examination
Examine hands (nails, palms and testing for CO2 flap);
Examine mouth (lips, tongue and mucous membranes)
What is included in 4) Chest inspection
Inspect chest cand comment on resting respiratory excursion, symmetry and shape, scars and skin lesions
What is included in 5) Respiratory Rate
Assess respiratory rate without undue attention of patient.
What is included in 6) palpation for lymph nodes
Palpate for supraclavicular lymph nodes
What is included in 7) palpate for trachea
confirm position of trachea in the sternal notch
What is included in 8) Chest expansion
Assess symmetry and excursion of maximum chest expansion by palpation of back and front
What is included in 9) Percussion
Percusses a minimum of three locations back and front and in the axillary area, comparing sides and encompassing all lobes;
Examines further to elucidate extent of problem in the presence of an abnormality.
What is included in 10) Auscultation
Auscultates all areas of chest as in percussion using the diaphragm and listening throughout the whole respiratory cycle in each area;
Examines further in the event of an abnormality.
What is included in 11) Be aware of potential signs of tactile vocal fremitus, vocal resonance and whispering pectoriloquy.
Tactile Vocal Fremitus-