Examination of Respiratory System

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Examination of Respiratory System

• introduction, permission, exposure
• Position at 45°

Observe

• respiratory rate
• dyspnoea
• 2 deep breaths
  • asymmetry
  • stridor
  • cachexia
  • accessory muscle / pursing

Hands

• clubbing
• asterixis
• tremor
• tar stains
• steroidal skin
• pulse
• HPOA

Face

• central cyanosis
• cushingoid
• Horner's syndrome

Neck

• Trachea
• JVP
• Lymphadenopathy

Chest

• Percussion
  • don't forget axillae
• Tactile vocal fremitus
• Auscultation
  • start at apex
• Vocal resonance

Ankle Oedema

Extras

• sputum pot
• temperature chart
• oxygen
• nebulisers

Thank, cover, make comfortable and report to examiner

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