Examination of the Respiratory system.
Introduction
Make the patient comfortable.
General Examination: posture; breathing; use of accessory muscles; ability to speak.
Systemic Examination: Hands: clubbing; cyanosis; nicotine staining; wasting of the small muscles; warmth; wrist for swelling and tenderness; Radial pulse: bounding?
Face: flaring of ala nasi; eyes: pupils and ptosis; tongue for central cyanosis
Neck: JVP; trachea; dilated veins; crepitus; Lymphadenopathy; sternocleidomastoid prominence
Chest Inspection: from a distance, anatomy; respiratory movements; symmetry; scars; sinuses; respiratory rate; any abnormalities, dilated vessels and intercostal recession
Palpation: Apex beat; chest expansion
Percussion: on both sides
4 times in the mid clavicular line and twice in the mid axillary line
Auscultation in the same areas (4+4 and 2+2) then 99 test (4+4)
Back Inspection: Then sit up the patient and describe
Palpation: Expansion of the chest. Percussion: 4+4 diaphragmatic dullness. Auscultation: 4+4 and 99 Test (4+4).
Thank the patient and cover up.