Examination of the Respiratory System
General
Look around for
Clinical approach
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check hands
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check face
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colour
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anaemia
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respiratory distress
Chest
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Inspection
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acute signs
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Chronic signs
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Percussion
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Auscultation
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added noises
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stridor
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wheeze
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crackles
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crepitation
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rub
Special notes
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evidence of atopic disease
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beware transmitted noises - ask child to cough
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percussion unhelpful under 2 and disliked - can omit and
explain why
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percuss on to finger not clavicle
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downward displacement of liver indicates chest overexpanded
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