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Year 3 OSCE'S > The Respiratory Osce > Flashcards

Flashcards in The Respiratory Osce Deck (19):
1

List the 6 sections the respiratory OSCE can be broken up into.

1) Set up
2) Inspection
3) Palpation
4) Percussion
5) Auscultation
6) Scope for further examination

2

List the steps included in set up

Explaining the exam
Positioning and Exposure

3

List the steps included in Inspection

Overall inspection
Peripheral examination (to include CO2 retention flap)
Respiratory Rate
Chest inspection

4

List the steps included in Palpation

Palpate for lymph nodes
Palpate for trachea
Palpate for chest expansion

5

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)

6

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)

7

What is included in 1) Positioning and Exposure

45 degrees;
complete exposure of chest, back and front for inspection, (although breasts can be covered for the remainder of the time in women.

8

What is included in 2) Overall inspection

Inspect patient overall and comment on build, posture demeanour and any abnormality.

9

List the steps included in the section 'Auscultation'

Auscultate all areas of chest (for a whole respiratory cycle)

10

What is included in 3) Peripheral Examination

Examine hands (nails, palms and testing for CO2 flap);
Examine mouth (lips, tongue and mucous membranes)

11

What is included in 4) Chest inspection

Inspect chest cand comment on resting respiratory excursion, symmetry and shape, scars and skin lesions

12

What is included in 5) Respiratory Rate

Assess respiratory rate without undue attention of patient.

13

What is included in 6) palpation for lymph nodes

Palpate for supraclavicular lymph nodes

14

What is included in 7) palpate for trachea

confirm position of trachea in the sternal notch

15

What is included in 8) Chest expansion

Assess symmetry and excursion of maximum chest expansion by palpation of back and front

16

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.

17

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.

18

What is included in 11) Be aware of potential signs of tactile vocal fremitus, vocal resonance and whispering pectoriloquy.

Tactile Vocal Fremitus-

Vocal Resonance-

Whispering Pectoriloquy-

19

What is included in 12) State further tests

Peak flow,
Inspection of sputum
Oxygen saturations