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30 wrz 2010 · Assess the posterior chest including inspection, chest expansion, percussion, tactile vocal fremitus (or vocal resonance) and auscultation. Allocate adequate time to assessing the posterior aspect of the chest as this is where you are most likely to identify clinical signs.
Chest pain: typically worsened by deep inspiration due to being pleuritic in nature (e.g. pulmonary embolism, pleurisy). Systemic symptoms : these can include fatigue (e.g. lung cancer, COPD), fever (e.g. pneumonia), and weight loss (e.g. end-stage COPD, lung cancer).
All over the chest on both sides over the lung and pleural area. Shifting dullness especially in hydro-pneumothorax. Type of breath sounds. Adventitious sounds. Vocal resonance. Aeogophony/bronchophony. Before Examination :
Sample Normal Exam Documentation. For patients presenting with respiratory complaints, or known respiratory system abnormalities, you will want to document a complete respiratory exam. For patients presenting with non-related problems, you can keep your respiratory system documentation to a minimum.
If palpating the chest, use light pressure with the fingertips to examine the anterior and posterior chest wall. Chest palpation may be performed to assess specifically for growths, masses, crepitus, pain, or tenderness.
OSCE Checklist: Respiratory Examination. Introduction. Wash your hands and don PPE if appropriate. 2. Introduce yourself to the patient including your name and role.
Sample Documentation of Expected Findings. Patient denies cough, chest pain, or shortness of breath. Denies past or current respiratory illnesses or diseases. Symmetrical anterior and posterior thorax. Anteroposterior-transverse ratio is 1:2.
