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Clin: Examination of the Respiratory System


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45
When performing a respiratory examination, the couch should be set at [__] degrees
Comfortable, breathless, equipment and nutrition
Respiratory Exam General Inspection
Clubbing
Respiratory Exam Inspection: Nails
Nicotine staining
Respiratory Exam Inspection: Fingers
Colour, wasting and tremor
Respiratory Exam Inspection: Hands
Horner's syndrome
Respiratory Exam Inspection: Eyes
Central cyanosis
Respiratory Exam Inspection: Mouth
Assymetries, scars, swellings, pattern of breathing, accessory muscles, hoarseness, wheeze, stridor and respiratory rate
Respiratory Exam Inspection: Chest for [_______], [_______], [_______]. Also observe [_______] and use of [_______]. Listen for [_______], [_______] and [_______]. Count [_______]
Position of trachea and lung expansion
Respiratory Exam Palpation: Check [_______] and check [_______]
Resonance, dullness and hyperresonance
Respiratory Exam Percussion: Percuss chest right to left, listening for areas of [_______], [_______] and [_______]
Breathe normally, bell and vocal resonance
Respiratory Exam Auscultation: First ask patient to [_______]. Listen across chest using the stethoscope's [_______]. Then check [_______]
One one one
Vocal resonance is tested by asking a patient to say [_______] whilst you auscultate
Vesicular
Normal breath sounds are described as this
Examine neck for lymph nodes, peak expiratory flow rate and oxygen saturation
Additional tests for a Respiratory Exam